| W Bret Smith, MD | |
|
383 S 300 E, St George, UT 84770 | |
| (435) 628-2826 | |
| (435) 628-2839 |
| Full Name | W Bret Smith |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 383 S 300 E, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164499836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 1778031205 (Utah) | Primary |
| Entity Name | Southwest Skin And Cancer Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619929783 PECOS PAC ID: 4587675004 Enrollment ID: O20060518000051 |
| Mailing Address | Practice Location Address |
|---|---|
| W Bret Smith, MD 383 S 300 E, St George, UT 84770 Ph: (435) 628-2826 | W Bret Smith, MD 383 S 300 E, St George, UT 84770 Ph: (435) 628-2826 |
Mr. Damion D. Rodeback, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1449 N 1400 W Ste 22, St George, UT 84770 Phone: 435-703-9296 Fax: 435-215-4075 | |
Dr. Benjamin Gill Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1068 E Riverside Dr, St George, UT 84790 Phone: 435-628-6466 Fax: 435-628-3845 | |
Dr. Bruce Grant Lyman Bishop, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 552 N Dixie Dr, St George, UT 84770 Phone: 435-703-9296 | |
Dr. Karl Kirk Trimble, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 169 W 2710 South Cir Ste 101, St George, UT 84790 Phone: 435-674-3552 Fax: 435-674-5905 | |
Robin Berger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 640 E 700 S, Suite 1, St George, UT 84770 Phone: 435-673-7546 Fax: 435-673-7554 | |
Dr. Marie S Tuttle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 300, St George, UT 84790 Phone: 435-251-3670 |