Jonathan C Conley, RD | |
1916 N 700 W Ste 250, Layton, UT 84041-5723 | |
(801) 479-0312 | |
(801) 479-3364 |
Full Name | Jonathan C Conley |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 3 Years |
Location | 1916 N 700 W Ste 250, Layton, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689318529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ogden Clinic Specialty Services Llc | 1658781422 | 108 |
Provider Name | Ogden Clinic Specialty Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
Mailing Address | Practice Location Address |
---|---|
Jonathan C Conley, RD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3482 | Jonathan C Conley, RD 1916 N 700 W Ste 250, Layton, UT 84041-5723 Ph: (801) 479-0312 |
Taylor Chan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2984 N Hill Field Rd Ste A1, Layton, UT 84041 Phone: 443-987-7526 | |
Lexie Jo Calloway Jex, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-397-6160 | |
Natasha Lyn Mills, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr Bldg Room, Layton, UT 84041 Phone: 801-807-7360 Fax: 801-807-7363 | |
Kelsey Bird, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-479-0312 | |
Mrs. Julie Anne Hansen, M.S., R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1904 West Gordon Avenue, Layton, UT 84041 Phone: 801-444-0794 | |
Mrs. Nichole Laura Stahle, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 W Antelope Dr, Layton, UT 84041 Phone: 801-807-7179 | |
Mesha Fagg, RDN CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150 Fax: 801-397-6151 |