| Richard B Palfreyman, MD | |
|
274 N Main St, Logan, UT 84321-3915 | |
| (435) 753-1600 | |
| (435) 753-9521 |
| Full Name | Richard B Palfreyman |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 274 N Main St, 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 |
|---|---|---|---|
| 1194774711 | NPI | - | NPPES |
| 870550181001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 261311-1205 (Utah) | Primary |
| Entity Name | Interwest Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841214483 PECOS PAC ID: 0042293359 Enrollment ID: O20040609000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard B Palfreyman, MD 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 | Richard B Palfreyman, MD 274 N Main St, Logan, UT 84321-3915 Ph: (435) 753-1600 |
Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Peter C Daines, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Vikas Garg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Lyman B Stevens, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 | |
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 | |
Michael L Broadbent, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |