| J Timothy Duffy, MD | |
| 3723 W 12600 S, Suite 450, Riverton, UT 84065-7295 | |
| (801) 285-4543 | |
| Not Available | 
| Full Name | J Timothy Duffy | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 3723 W 12600 S, Riverton, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376654285 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 983638911205 (Utah) | Primary | 
| Entity Name | Ihc Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 | 
| Mailing Address | Practice Location Address | 
|---|---|
| J Timothy Duffy, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 302-7300 | J Timothy Duffy, MD 3723 W 12600 S, Suite 450, Riverton, UT 84065-7295 Ph: (801) 285-4543 | 
| Dr. Monica Child Wonnacott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12391 S 4000 W, Riverton, UT 84096 Phone: 801-302-1700 Fax: 801-302-1714 | |
| Ms. Katherine Douglas Westmoreland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Ste 450, Riverton, UT 84065 Phone: 801-285-4543 Fax: 801-285-4540 | |
| Kristina D Esham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S, Suite 450, Riverton, UT 84065 Phone: 801-285-4543 | |
| Dr. Stasha S Lewis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 150, Riverton, UT 84065 Phone: 801-285-4561 | |
| Dr. Shellie J Ring, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3723 W 12600 S Ste 330, Riverton, UT 84065 Phone: 801-285-4543 | |
| Dr. Craig Alan Coleby, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12391 S 4000 W, Suite 100, Riverton, UT 84096 Phone: 801-302-1700 |