Colin Lee Bench, DC | |
3800 W 3500 S, West Valley City, UT 84120-3306 | |
(801) 973-1022 | |
Not Available |
Full Name | Colin Lee Bench |
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Gender | Male |
Speciality | Chiropractor |
Location | 3800 W 3500 S, West Valley City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023722972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 12714205-1202 (Utah) | Primary |
Provider Name | Bench Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982479036 PECOS PAC ID: 4486004157 Enrollment ID: O20231220003285 |
Mailing Address | Practice Location Address |
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Colin Lee Bench, DC 1781 W 10740 S, South Jordan, UT 84095-2726 Ph: (385) 695-4944 | Colin Lee Bench, DC 3800 W 3500 S, West Valley City, UT 84120-3306 Ph: (801) 973-1022 |
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