Dr Philip Jiricko, MD in North Ogden, UT - Preventive Medicine

Dr Philip Jiricko, MD is a Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in North Ogden, Utah. Dr Philip Jiricko is licensed to practice in Utah (license number 6283141-1205) and his current practice location is 2400 N Washington Blvd, North Ogden, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 786-7778.

NPI number for Dr Philip Jiricko is 1982816351 and his current mailing address is 5375 Shoshone Circle, Ogden, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982816351.

Contact Information

	Dr Philip Jiricko, MD
	2400 N Washington Blvd, North Ogden, UT 84414-7233
	(801) 786-7778
	Not Available

Physician's Profile

Full Name	Dr Philip Jiricko
Gender	Male
Speciality	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location	2400 N Washington Blvd, North Ogden, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1982816351
Provider Enumeration Date: 05/05/2007
Last Update Date: 01/13/2009

Medical Identifiers

Medical identifiers for Dr Philip Jiricko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982816351	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0500X	Preventive Medicine - Preventive Medicine/occupational Environmental Medicine	6283141-1205 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Jiricko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Philip Jiricko, MD 5375 Shoshone Circle, Ogden, UT 84403 Ph: (801) 555-5555	Dr Philip Jiricko, MD 2400 N Washington Blvd, North Ogden, UT 84414-7233 Ph: (801) 786-7778

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Dr Philip Jiricko, MD - Preventive Medicine in North Ogden, UT