| James M Villareal, MD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8132 | |
| Not Available |
| Full Name | James M Villareal |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588684062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 275346-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | 275346-1205 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Utah Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454 |
| Mailing Address | Practice Location Address |
|---|---|
| James M Villareal, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: (801) 269-2500 | James M Villareal, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8132 |
Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Brian Ezar Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Rt N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8600 Fax: 928-729-8624 | |
Samuel Bryan Wood, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Nicholas Frank Zampariello, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Elyssa Berg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600 | |
Dr. Scott A Kelso, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |