| David Anderson, | |
|
2376 N 400 E Ste 102, Tooele, UT 84074-3413 | |
| (435) 843-1225 | |
| Not Available |
| Full Name | David Anderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2376 N 400 E Ste 102, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417500158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Garden Valley Family Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245312750 PECOS PAC ID: 0648296814 Enrollment ID: O20051017000994 |
| Mailing Address | Practice Location Address |
|---|---|
| David Anderson, 1455 S 500 W Ste B, Bountiful, UT 84010-8252 Ph: (801) 784-2111 | David Anderson, 2376 N 400 E Ste 102, Tooele, UT 84074-3413 Ph: (435) 843-1225 |
Jesse Yarrington, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 |
Craig Aaron Packham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 102, Tooele, UT 84074 Phone: 435-833-9180 Fax: 435-833-9177 |
Shanna L. Acord, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2321 N 400 E Ste 200, Tooele, UT 84074 Phone: 435-830-6110 |
Justin M Cox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E Ste 201, Tooele, UT 84074 Phone: 435-882-2350 |
Jessica Weeks Juber, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 S Tooele Blvd, Tooele, UT 84074 Phone: 435-248-0333 Fax: 435-248-0334 |
Miss Brianna Nguyen Le, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 S Tooele Blvd, Tooele, UT 84074 Phone: 435-248-0333 |
Melinda Choate, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2356 N. 400 E., Suite 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 |