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Individual
MR. ADAM L MENDENHALL
Active
Individual
MR. ADAM L MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
342725-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107040992101
SELECT HEALTH
UT
01
—
2012098
FIRST HEALTH
UT
01
—
34272524000001
BCBS TRADITIONAL
UT
01
—
34272524001001
BCBS PPO
UT
01
—
7348774
AETNA
UT
01
—
82064
PEHP
UT
01
—
894766
DMBA
UT
Enumeration date
07/13/2006
Last updated
07/08/2007
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