MEDICARE: R C HALVERSEN MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1346255098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R C HALVERSEN MD PC

Provider Business Mailing Address
First Line	:	1160 E 3900 S
Second Line	:	4100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124
Country	:	US
Telephone Number	:	801-268-3800
Fax Number	:	801-268-3997

Provider Business Practice Location Address
First Line	:	1160 E 3900 S
Second Line	:	4100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124
Country	:	US
Telephone Number	:	801-268-3800
Fax Number	:	801-268-3997

Authorized Official
Title or Position	:	BILLING MGR
Name	:	MARY D SCOTT
Credential	:
Telephone Number	:	801-577-7055

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/19/2011

Similar Medicare Providers

1104155522 — BRONWYN POWELL
Practice Location Address:

4460 HIGHLAND DR , STE 100
SALT LAKE CITY, UT
84124-3543

Practice Phone: 801-273-1085
Practice Fax:

1528061553 — DAYWEST HEALTHCARE SERVICES
Practice Location Address:

4285 HIGHLAND DR
SALT LAKE CITY, UT
84124-2603

Practice Phone: 801-278-2839
Practice Fax: 801-272-6109

1578566154 — THOMAS L CURETON PA-C
Practice Location Address:

1160 E 3900 S STE 4050
SALT LAKE CITY, UT
84124-1264

Practice Phone: 801-262-8486
Practice Fax: 801-284-8699

1891799318 — DR. RICHARD J HEROLD MD
Practice Location Address:

1160 E 3900 S STE G200
SALT LAKE CITY, UT
84124

Practice Phone: 801-268-7766
Practice Fax: 801-270-3395

1740286970 — GARY L HALVERSEN MD
Practice Location Address:

1151 E 3900 S , #B150
SALT LAKE CITY, UT
84124-1216

Practice Phone: 801-262-3441
Practice Fax: 801-269-9005

1275530305 — CAMILLE COLLETT M.D.
Practice Location Address:

1250 E 3900 S , SUITE 260
SALT LAKE CITY, UT
84124-1348

Practice Phone: 801-265-2000
Practice Fax: 801-506-0296

1689671737 — MR. CHRIS LINDSEY PA-C
Practice Location Address:

1220 E 3900 S , # 4E
SALT LAKE CITY, UT
84124-1327

Practice Phone: 801-261-8507
Practice Fax: 801-261-8511

Directions to “R C HALVERSEN MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.