| Mobile Mbs Inc. | |
|
7437 Union Mill Ct, Midvale, UT 84047-2297 | |
| (801) 633-3104 | |
| Not Available |
| Full Name | Mobile Mbs Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 7437 Union Mill Ct, Midvale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477887859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 74562214-0142 (Utah) | Primary |
| Provider Name | William J Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730374604 PECOS PAC ID: 8527127141 Enrollment ID: I20081118000373 |
| Provider Name | Chad B. Kimball |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629247358 PECOS PAC ID: 3274719448 Enrollment ID: I20110524000421 |
| Provider Name | Chad Daryl Chenoweth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255620068 PECOS PAC ID: 3375773088 Enrollment ID: I20171106001612 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Mbs Inc. 7437 Union Mill Ct, Midvale, UT 84047-2297 Ph: (801) 633-3104 | Mobile Mbs Inc. 7437 Union Mill Ct, Midvale, UT 84047-2297 Ph: (801) 633-3104 |
Jaime Alden Booz, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1012 W Jordan River Blvd, Midvale, UT 84047 Phone: 801-647-5691 | |
Madison Staples, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 570 E Greenwood Ave, Midvale, UT 84047 Phone: 385-444-5450 | |
Beverly Ann Lujan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 898 E 7800 S, Midvale, UT 84047 Phone: 801-566-5555 |