Jill Austad, RD | |
1034 N 500 W, Provo, UT 84604-3380 | |
(801) 357-7714 | |
Not Available |
Full Name | Jill Austad |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1034 N 500 W, Provo, 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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1770040263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 949257 (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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Jill Austad, RD 1034 N 500 W, Provo, UT 84604-3380 Ph: () - | Jill Austad, RD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-7714 |
Mrs. Holly Yorgason, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7475 Fax: 801-357-7997 | |
Brooklin Clements, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 441 N 1220 W, Provo, UT 84601 Phone: 385-307-6111 | |
Donna L Schofield, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7546 | |
Kristen Johnson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 395 W Cougar Blvd Ste 203, Provo, UT 84604 Phone: 801-357-7706 | |
Allison Shippen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604 Phone: 801-357-7546 | |
Daniel Burgess, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8413 | |
Lisa Danielle Rivera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2693 W 530 N, Provo, UT 84601 Phone: 801-885-2683 |