| James Tynan Daly, DO | |
|
1034 N 500 W, Provo, UT 84604-3380 | |
| (801) 357-7291 | |
| Not Available |
| Full Name | James Tynan Daly |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003436692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A20905 (California) | Secondary |
| 208M00000X | Hospitalist | 14279440-1204 (Utah) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Community Memorial Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
| Entity Name | Pacific Inpatient Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700270642 PECOS PAC ID: 4789998170 Enrollment ID: O20150729008489 |
| Mailing Address | Practice Location Address |
|---|---|
| James Tynan Daly, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: Not Available | James Tynan Daly, DO 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7291 |
Levi Daniel Franz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 |
Nicholas Holdaway Bishop, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 Fax: 801-357-3854 |
Jacob Mark James, DO Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291 |