| Steven M Thackeray, MD | |
|
5063 S Cottonwood St #400, Steven M.thackeray, M.d., Murray, UT 84107 | |
| (801) 507-1950 | |
| (801) 507-1951 |
| Full Name | Steven M Thackeray |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 5063 S Cottonwood St #400, Murray, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407813959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 3085308-1205 (Utah) | Primary |
| Entity Name | Cottonwood Ob-gyn |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417315243 PECOS PAC ID: 9335432368 Enrollment ID: O20160727002602 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven M Thackeray, MD 5063 S Cottonwood St #400, Steven M.thackeray, M.d., Murray, UT 84107 Ph: (801) 507-1950 | Steven M Thackeray, MD 5063 S Cottonwood St #400, Steven M.thackeray, M.d., Murray, UT 84107 Ph: (801) 507-1950 |
Mary Caitlin Indart, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5063 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-1950 | |
Elizabeth Masm Mason, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5770 So 250 E #g 50, Murray, UT 84107 Phone: 801-314-4440 Fax: 801-314-4437 | |
Cherysh Hubbard Stock, DNP, WHNP, CNM Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-1800 | |
Martha Anice Andrea Monson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St # 130, Murray, UT 84107 Phone: 801-507-7400 | |
Becky J Jackson, RN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7673 | |
Jonathan Bradford Gibson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5063 S Cottonwood St Ste 400, Murray, UT 84107 Phone: 801-507-1950 | |
Anthon E Anderson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5770 So 250 E Suite G-50, Murray, UT 84107 Phone: 801-314-4440 Fax: 801-314-4437 |