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Audrey Anne Jiricko

  • Female

Medical Specialty

Professional ID

  • NPI: 1962510016
  • PECOS ID: 0648179218
  • Enrollment ID: I20040819001576
  • Credential(MD, DO, DPM): MD
  • Medical School: Indiana University School Of Medicine
  • Medical School Graduation Year: 1998

Hospital Service

  • Hospital CCN1: 460004
  • Business Name (LBN)1: Mckay Dee Hospital

Medical Practices

  • Organization Name: Ihc Health Services Inc
  • Group Practice ID assigned by PECOS: 1850209420
  • Number of Group Practice member: 2216

Location

  • Address1: 2075 University Park Blvd
  • Address2:
  • City: Layton
  • State: Utah
  • Zip Code: 84041
  • Phone Number: (801)387-5600

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes