| Mackenzie Bowman, RD, CD | |
|
8th Avenue & C St, Salt Lake City, UT 84143-1005 | |
| (801) 408-1100 | |
| Not Available |
| Full Name | Mackenzie Bowman |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 8th Avenue & C St, Salt Lake 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 |
|---|---|---|---|
| 1639883895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Provider Name | Ihc Health Services Inc |
|---|---|
| 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 |
|---|---|
| Mackenzie Bowman, RD, CD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: Not Available | Mackenzie Bowman, RD, CD 8th Avenue & C St, Salt Lake City, UT 84143-1005 Ph: (801) 408-1100 |
Andrea Addley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1174 E Graystone Way Ste 1a, Salt Lake City, UT 84106 Phone: 801-664-2182 |
Ms. Erinn Meyer, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8th Ave & C St, Salt Lake City, UT 84143 Phone: 804-408-1760 |
Fuel2flourish Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2099 E 3205 S, Salt Lake City, UT 84109 Phone: 301-233-6634 |
Krista Skye Viau, MS, RD, CSP, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-587-9590 |
Amelia Pape, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2079 S 1200 E Unit 210, Salt Lake City, UT 84105 Phone: 970-231-7392 |
Ana Paula Coronel Olivas, PSM, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd # 120, Salt Lake City, UT 84148 Phone: 801-582-1565 |
Amy Loverin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 250 S 1850 E, Salt Lake City, UT 84112 Phone: 801-585-9127 |