| Trent Bradford Haslam, | |
|
5801 S Fashion Blvd Ste 120, Murray, UT 84107-8115 | |
| (801) 261-1391 | |
| (801) 261-1394 |
| Full Name | Trent Bradford Haslam |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 4 Years |
| Location | 5801 S Fashion Blvd Ste 120, Murray, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427708718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 13466294-0501 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| True North Home Health | South salt lake , UT | Home health agency |
| Intermountain Health Intermountain Medical Center | Murray, UT | Hospital |
| St Mark's Hospital | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| L Craig Larsen Dpm Pc | 1951301589 | 2 |
| Ryan K Anderson D P M P C | 7517999121 | 51 |
| Provider Name | Ryan K Anderson D P M P C |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639200215 PECOS PAC ID: 7517999121 Enrollment ID: O20050903000007 |
| Provider Name | L Craig Larsen DPM PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134188394 PECOS PAC ID: 1951301589 Enrollment ID: O20070222000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Bradford Haslam, 5720 S Waterbury Way Unit H, Salt Lake City, UT 84121-1137 Ph: (801) 414-0492 | Trent Bradford Haslam, 5801 S Fashion Blvd Ste 120, Murray, UT 84107-8115 Ph: (801) 261-1391 |
Stanton Miller Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 168 E 5900 S # 102, Murray, UT 84107 Phone: 801-441-2719 Fax: 801-327-2304 |
L Craig Larsen Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5801 Fashion Blvd, # 120, Murray, UT 84107 Phone: 801-261-1391 Fax: 801-261-1394 |
Dr. Richard Luke Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 801-507-7000 |
Mr. L. Craig Larsen, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5801 Fashion Blvd, # 120, Murray, UT 84107 Phone: 801-261-1391 Fax: 801-261-1394 |
Clark C Larsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5801 Fashion Blvd, #120, Murray, UT 84107 Phone: 801-261-1391 Fax: 801-261-1394 |
Dr. Thomas Vance Eddy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5801 S Fashion Blvd Ste 120, Murray, UT 84107 Phone: 801-261-1391 |
Cottonwood Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 181 E Medical Tower Dr, Murray, UT 84107 Phone: 801-442-1853 |