| Melinda Lee Peterson, APRN | |
|
200 N 400 E, Panguitch, UT 84759-7803 | |
| (435) 676-8842 | |
| Not Available |
| Full Name | Melinda Lee Peterson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 200 N 400 E, Panguitch, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952008419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8054803-4405 (Utah) | Primary |
| Entity Name | Garfield County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356350219 PECOS PAC ID: 6305744459 Enrollment ID: O20031227000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Lee Peterson, APRN Po Box 36, Escalante, UT 84726-0036 Ph: (435) 690-9510 | Melinda Lee Peterson, APRN 200 N 400 E, Panguitch, UT 84759-7803 Ph: (435) 676-8842 |
Dr. Todd Stanley Mooney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 E 200 N, Panguitch, UT 84759 Phone: 435-676-8811 Fax: 435-676-2679 | |
Dr. Richard Glen Birch, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N 400 E, Panguitch, UT 84759 Phone: 435-676-8811 Fax: 435-676-2679 | |
Colin Thomas Marshall, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N 400 E, Panguitch, UT 84759 Phone: 435-676-2252 Fax: 435-676-1544 | |
Kelsey Eliza Allen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N 400 E, Panguitch, UT 84759 Phone: 435-676-8842 |