| Lawrence K Gates Jr, MD | |
|
1350 N 500 E, Logan, UT 84341-2400 | |
| (435) 716-1260 | |
| Not Available |
| Full Name | Lawrence K Gates Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1350 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 |
|---|---|---|---|
| 1770561425 | NPI | - | NPPES |
| 286722 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4826413-1205 (Utah) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | MD23505 (Oregon) | Secondary |
| 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 |
|---|---|
| Lawrence K Gates Jr, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Lawrence K Gates Jr, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 716-1260 |
Rudolf Otrusinik, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1300 N 500 E, Suite 320, Logan, UT 84341 Phone: 435-755-8200 Fax: 435-752-6094 | |
Harold Vonk, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1980 | |
Robert M Nash, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Agnieszka M Szpunar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Dr. Stephen J Ferney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-752-1693 Fax: 435-792-1692 | |
Dr. Stephen Christensen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341 Phone: 385-244-4020 Fax: 385-244-4022 | |
Tyler Pew, DO Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1615 |