Benjamin R Sumner
Medical Specialty
Professional ID
- NPI: 1609271188
- PECOS ID: 1759605389
- Enrollment ID: I20160809001536
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 460044
- Business Name (LBN)1: Alta View Hospital
- Hospital CCN2: 460060
- Business Name (LBN)2: Lone Peak Hospital
Medical Practices
- Organization Name: Anthony S Gordon, Md Pc
- Group Practice ID assigned by PECOS: 3375577992
- Number of Group Practice member: 2
Location
- Address1: 9844 S 1300 E
- Address2: Suite 100
- City: Sandy
- State: Utah
- Zip Code: 84094
- Phone Number: (801)571-9433
Medical Practices
- Organization Name: Granger Medical Clinic Inc
- Group Practice ID assigned by PECOS: 3476465691
- Number of Group Practice member: 148
Location
- Address1: 3725 W 4100
- Address2:
- City: West Valley City
- State: Utah
- Zip Code: 84120
- Phone Number: (801)965-3600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):