Bradley Jordan Bentley, RDN | |
652 S Medical Center Dr, Saint George, UT 84790-7049 | |
(435) 251-3793 | |
Not Available |
Full Name | Bradley Jordan Bentley |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 652 S Medical Center Dr, Saint George, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1902556582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 8338278-4901 (Utah) | Primary |
Provider Name | Ihc Health Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Bradley Jordan Bentley, RDN 574 S 100 W Apt 7, Saint George, UT 84770-3594 Ph: (801) 674-1112 | Bradley Jordan Bentley, RDN 652 S Medical Center Dr, Saint George, UT 84790-7049 Ph: (435) 251-3793 |
Mrs. Melinda Walters, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3641 S 2640 E, Saint George, UT 84790 Phone: 801-372-6712 | |
Emily Fonnesbeck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 S 300 E Apt 5, Saint George, UT 84770 Phone: 435-229-4971 Fax: 888-320-0025 | |
Physician Laboratory Services Dietitian Medicare: Medicare Enrolled Practice Location: 2891 E Mall Drive, Ste. 101, Saint George, UT 84791 Phone: 435-656-2424 Fax: 435-656-2828 | |
Mrs. Krista Mangan Larsen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1042 S 1450 E Unit 39, Saint George, UT 84790 Phone: 801-380-7750 |