| Angela Salveson, PA-C | |
|
155 W Canyon Crest Rd Ste 200, Alpine, UT 84004-1966 | |
| (801) 763-9851 | |
| (801) 763-9852 |
| Full Name | Angela Salveson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 155 W Canyon Crest Rd Ste 200, Alpine, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588079347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0553 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | 10376280-1206 (Utah) | Primary |
| Entity Name | Revere Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Salveson, PA-C 155 W Canyon Crest Rd Ste 200, Alpine, UT 84004-1966 Ph: (801) 763-9851 | Angela Salveson, PA-C 155 W Canyon Crest Rd Ste 200, Alpine, UT 84004-1966 Ph: (801) 763-9851 |
Heather Leishman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 W Canyon Crest Rd, Suite 200, Alpine, UT 84004 Phone: 801-763-9851 |
Amber Astle, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 782 Canterbury Ln, Alpine, UT 84004 Phone: 801-866-8802 |
Brent D. Mains, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 833 E Coventry Ln, Alpine, UT 84004 Phone: 385-447-7929 |
Mrs. Nicole M Wigton, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 W Canyon Crest Rd Ste 200, Alpine, UT 84004 Phone: 801-763-9851 |