| Grace Kim Harris, DO | |
|
1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 | |
| (801) 233-4400 | |
| (801) 233-4410 |
| Full Name | Grace Kim Harris |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1225 E Fort Union Blvd, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093725277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 53924561204 (Utah) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Kim Harris, DO 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 Ph: (801) 233-4400 | Grace Kim Harris, DO 1225 E Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 Ph: (801) 233-4400 |
Dr. Jay Caesar Moreland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, 72nd Street Clinic, Chc Inc, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Dr. Katie Lynn Donnelly, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 307-259-8362 | |
Dr. Megan C Phelps, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Dr. Julia Krumholz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Dr. Sarah Miller, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 877-497-4661 | |
Larisa B. Yaroshchuk, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 |