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NPI Code Detail

MEDICARE: MANO SWARTZ MA

MEDICARE: MANO SWARTZ MA
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
1207W00000XOphthalmology Physician1642011205UT
2207W00000XOphthalmology Physician164201-1205UT
3207WX0107XRetina Specialist (Ophthalmology) Physician164201-1205UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180041614OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2870525682OTHERTAX ID #

General Provider Information

NPI Number : 1801870670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANO SWARTZ MA
Provider Business Mailing Address
First Line : 5169 COTTONWOOD ST STE 630
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-6771
Country : US
Telephone Number : 801-281-3030
Fax Number : 801-281-3033
Provider Business Practice Location Address
First Line : 5169 COTTONWOOD ST STE 630
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-6771
Country : US
Telephone Number : 801-281-3030
Fax Number : 801-281-3033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 02/05/2018

Similar Medicare Providers

1033110119 — DR. JAMES G HOWARD MD
Practice Location Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-312-2020
Practice Fax: 801-312-2022
1962487611 — KIRK EDWARD WINWARD MD
Practice Location Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-281-3030
Practice Fax: 801-281-3033
1053397752 — GREGORY SHERMAN BRINTON MD
Practice Location Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-281-3030
Practice Fax: 801-281-3033
1457338162 — ROBERT CHOI KWUN MD
Practice Location Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-281-3030
Practice Fax: 801-281-3033
1366577256 — MICHAEL P COLLINS MD
Practice Location Address:
5169 S COTTONWOOD ST , STE 600
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-507-3600
Practice Fax:
1396867214 — RETINA ASSOCIATES OF UTAH, P.C.
Practice Location Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
84107-6771
Practice Phone: 801-281-3030
Practice Fax: 801-281-3033

Directions to “ MANO SWARTZ MA” Practice Location

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