| Jeffrey Scott Job, MD | |
|
1400 N 500 E, Logan, UT 84341-2455 | |
| (435) 716-1000 | |
| Not Available |
| Full Name | Jeffrey Scott Job |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1400 N 500 E, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669479341 | NPI | - | NPPES |
| 805523600 | Medicaid | ID | |
| 119044000 | Medicaid | WY | |
| 10985 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M-7746 (Idaho) | Primary |
| Entity Name | Logan Radiology Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212988 PECOS PAC ID: 5496669152 Enrollment ID: O20031203000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Scott Job, MD Po Box 1108, Bountiful, UT 84011-1108 Ph: (801) 296-2113 | Jeffrey Scott Job, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000 |
Parker Eugene Ludwig, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438 | |
Daniel J Parker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N. 500 E., Logan, UT 84341 Phone: 435-716-1000 Fax: 801-951-2389 | |
C. Richard Hopkins, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Mark D Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Blake C. Mortenson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000 | |
Jason James Ginos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438 |