| Genesis Eldercare Physicians LLC | |
|
400 E 5350 S Ogden UT 84405-6931 | |
| (801) 479-9855 | |
| Not Available |
| Full Name | Genesis Eldercare Physicians LLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 400 E 5350 S, Ogden, Utah |
| Authorized Official Name and Position | Eric Shapiro (VP, AREA CONTROLLER) |
| Authorized Official Contact | 4108327790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physicians LLC Po Box 42738 Towson MD 21284-2738 Ph: (410) 832-7790 | Genesis Eldercare Physicians LLC 400 E 5350 S Ogden UT 84405-6931 Ph: (801) 479-9855 |
| NPI Number | 1245613298 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 04/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245613298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
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