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Individual

MR. ADAM L MENDENHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
166 W 1325 N, SUITE 100, CEDAR CITY, UT 84720-7792
(435) 586-0064
(435) 867-1243
Mailing address
166 W 1325 N, SUITE 100, CEDAR CITY, UT 84720-7792
(435) 586-0064
(435) 867-1243

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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