| Philip Owen, | |
|
30 N 1900 E Dept Of, Slc, UT 84132-0002 | |
| (801) 587-1771 | |
| (801) 581-4367 |
| Full Name | Philip Owen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 30 N 1900 E Dept Of, Slc, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114606969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 37429 (Utah) | Primary |
| Entity Name | University Of Utah Adult Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Owen, 230 E Broadway Apt 807, Slc, UT 84111-2450 Ph: (385) 301-6578 | Philip Owen, 30 N 1900 E Dept Of, Slc, UT 84132-0002 Ph: (801) 587-1771 |
Mr. Clint Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Georges Desjardins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Mr. Bradford D Hare, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 Fax: 801-587-6459 | |
Rachel Griffin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-2121 | |
Sean Torin Runnels, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
Joshua Micah Zimmerman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, Slc, UT 84132 Phone: 801-581-6393 |