| East West Health Pleasant Grove Llc | |
|
11020 N 5500 W # 101 Highland UT 84003-9643 | |
| (801) 829-7772 | |
| Not Available |
| Full Name | East West Health Pleasant Grove Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 11020 N 5500 W # 101, Highland, Utah |
| Authorized Official Name and Position | Regan Archibald (OWNER) |
| Authorized Official Contact | 4356401353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East West Health Pleasant Grove Llc 471 E 1000 S Ste C Pleasant Grove UT 84062-3694 Ph: () - | East West Health Pleasant Grove Llc 11020 N 5500 W # 101 Highland UT 84003-9643 Ph: (801) 829-7772 |
| NPI Number | 1992355630 |
|---|---|
| Provider Enumeration Date | 09/15/2019 |
| Last Update Date | 07/07/2020 |
| Medicare PECOS PAC ID | 1951736701 |
|---|---|
| Medicare Enrollment ID | O20200124000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992355630 | NPI | - | NPPES |
| Provider Name | John Unanue Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952368839 PECOS PAC ID: 8123927969 Enrollment ID: I20031231000290 |
| Provider Name | Brynn J Duerden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528232154 PECOS PAC ID: 7618115072 Enrollment ID: I20161031001517 |
| Provider Name | Devan M Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713401 PECOS PAC ID: 5890040406 Enrollment ID: I20180622001960 |
| Provider Name | Robert Barrali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699720789 PECOS PAC ID: 8628979838 Enrollment ID: I20191121002160 |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10968 N Alpine Hwy, Highland, UT 84003 Phone: 801-763-2900 | |
Edelweiss Senior Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4995 W 11200 N, Highland, UT 84003 Phone: 801-884-6100 | |
Physician Management Services Of Utah, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10290 N North County Blvd Ste 200, Highland, UT 84003 Phone: 888-829-8550 | |
Anodyne Of Alpine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11020 N 5500 W Ste 150, Highland, UT 84003 Phone: 801-829-7772 Fax: 801-876-5767 | |
Preservemd Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10290 N. County Blvd, Suite 200, Highland, UT 84003 Phone: 801-899-5410 |