Robert Austin Bulloch, CSW | |
235 S 200 E, Farmington, UT 84025-2320 | |
(801) 791-1588 | |
Not Available |
Full Name | Robert Austin Bulloch |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 235 S 200 E, Farmington, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487258299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11615012-3502 (Utah) | Primary |
Entity Name | Be Better Utah |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154051167 PECOS PAC ID: 5395118293 Enrollment ID: O20230223001570 |
Mailing Address | Practice Location Address |
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Robert Austin Bulloch, CSW 235 S 200 E, Farmington, UT 84025-2320 Ph: (801) 791-1588 | Robert Austin Bulloch, CSW 235 S 200 E, Farmington, UT 84025-2320 Ph: (801) 791-1588 |
Mr. Doug E Nielsen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475 | |
James Healey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 S 200 E, Farmington, UT 84025 Phone: 801-447-4865 | |
Mrs. Mejken Eileen Theurer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475 | |
Kaye Espenschied Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 Shepard Ln Ste 102, Farmington, UT 84025 Phone: 801-447-8680 Fax: 801-447-4211 | |
Jameson Hedin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1379 N 1075 W Ste 228, Farmington, UT 84025 Phone: 801-660-8545 | |
Mr. George M Dunnigan, 8018916423 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Island View Cir, Farmington, UT 84025 Phone: 801-891-6423 | |
Dennis Dale Ashton, LCSW - APA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1466 N Highway 89 Ste 220, Farmington, UT 84025 Phone: 801-451-0475 |