Roger P Stimpson
PROVAS OF SALT LAKE LLC


Address: 909 E 9400, Sandy, UT 84094-5514
Phone: 8013864240

Roger P Stimpson (NPI# 1447661053, PAC ID# 3476858945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1447661053
PAC ID by PECOS 3476858945
Professional Enrollment ID I20190722003359
Full Name Roger P Stimpson
Organization Legal Name PROVAS OF SALT LAKE LLC
Address 909 E 9400
Sandy
UT 84094-5514
Phone Number 8013864240
Gender M
Graduation Year 2013
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1850620303
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
460041 DAVIS HOSPITAL AND MEDICAL CENTER
460051 JORDAN VALLEY MEDICAL CENTER
460003 SALT LAKE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
5334 S Woodrow St, Suite 101, Murray, UT 84107-5838 8012628120 MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC
909 E 9400, Sandy, UT 84094-5514 8013864240 PROVAS OF SALT LAKE LLC

Organization Information

Organization Legal Name PROVAS OF SALT LAKE LLC
Physicians 1

Office Location

Street Address 909 E 9400
City SANDY
State UT
Zip 84094-5514

Physicians in the same location

Name Specialty Organization Address
Ehsan Hadjbian Family Practice 909 E 9400, Suite C, Sandy, UT 84094-5522

Physicians in the same zip code

Name Specialty Organization Address
Michael Mark Koniuch Physical Medicine and Rehabilitation 8074 S 1300, Sandy, UT 84094-0743
Maisa K Morris Family Medicine 8074 S 1300, Sandy, UT 84094-0743
Morris N Lewis Jr. Psychologist, Clinical 8074 S 1300, Sandy, UT 84094-0743
Joshua Joseph Minori Physical Medicine and Rehabilitation 8074 S 1300, Sandy, UT 84094-0743
Eric Overton Family Medicine After Hours Medical LLC 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744
Bojan Jurosevic Physical Therapy 7940 S 1300, Sandy, UT 84094-0744
Gretchen A Dennison Nurse Practitioner After Hours Medical LLC 7998 S 1300, After Hours Medical Sandy Clinic, Sandy, UT 84094-0744
Jill Palmer Speech Language Pathologist Zenith Physical Therapy, Pllc 7940 S 1300, Sandy, UT 84094-0744
Michael Edward Cobble Family Medicine 9355 S 1300, Sandy, UT 84094-3135
Nathan T Eldredge Chiropractic 720 E New England Dr, Sandy, UT 84094-3590
Find all physicians in zip 84094

Competitor

Search similar physicians

City SANDY
Zip Code 84094
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty SANDY + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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