Individual
OLIVIA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041-8803
(801) 773-4840
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12950263-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/14/2017
Last updated
09/08/2022
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