| Mrs Laurie Childs, PA-C | |
|
12340 S 450 E, Draper, UT 84020-8154 | |
| (801) 501-9797 | |
| Not Available |
| Full Name | Mrs Laurie Childs |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 12340 S 450 E, Draper, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235355819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6492794-1206 (Utah) | Primary |
| Entity Name | Allergy Associates of Utah PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801341961 PECOS PAC ID: 5496036139 Enrollment ID: O20170111002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laurie Childs, PA-C 12340 S 450 E, Draper, UT 84020-8154 Ph: (801) 501-9797 | Mrs Laurie Childs, PA-C 12340 S 450 E, Draper, UT 84020-8154 Ph: (801) 501-9797 |
Maria Marieta Svagr Margot, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311 |
Scott Bruderer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1126 E 12300 S, Draper, UT 84020 Phone: 801-545-0500 Fax: 801-545-0626 |
Nicole Kelly, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12340 S 450 E, Draper, UT 84020 Phone: 801-501-9797 |
Aspen Wayment Jones, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 11762 S State St Ste 110, Draper, UT 84020 Phone: 385-218-0587 Fax: 385-381-4447 |
Mrs. Nyssa Elise Seaton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12101 S State St, Draper, UT 84020 Phone: 801-501-9797 Fax: 801-501-9799 |
Megan Furber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-576-2000 |
Laura Eccles, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 360, Draper, UT 84020 Phone: 801-260-3687 |