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Benjamin R Sumner

  • Male

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):