Betty B Wade, DIETITIAN | |
454 E Medical Way, Heber City, UT 84032-1391 | |
(435) 658-6738 | |
Not Available |
Full Name | Betty B Wade |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 454 E Medical Way, Heber 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 |
---|---|---|---|
1528079449 | NPI | - | NPPES |
1061874901 | Other | UT | UTAH STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 106187-4901 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Mailing Address | Practice Location Address |
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Betty B Wade, DIETITIAN Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Betty B Wade, DIETITIAN 454 E Medical Way, Heber City, UT 84032-1391 Ph: (435) 658-6738 |
Ashley Bitner Miller, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1101 E 400 S, Heber City, UT 84032 Phone: 801-244-5101 | |
Christy Anne Watt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 380 E 1500 S Ste 102, Heber City, UT 84032 Phone: 435-657-4311 | |
Ms. Katharine I Loman, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1245 Hailstone Dr, Heber City, UT 84032 Phone: 630-240-7481 | |
Hannah Mary Cowan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1128 S 820 E Apt 8103, Heber City, UT 84032 Phone: 928-245-9989 | |
Ashley Karen Mathis, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 704 E 400 S, Heber City, UT 84032 Phone: 435-503-4361 |