Jill Hepner, RDMS RDCS RVT

Individual provider Active NPI Diagnostic Ultrasound Physician · Salem, UT

NPI 1295570844 · NPPES record last updated Jun 26, 2024

Key facts

NPI
1295570844
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Ultrasound Physician 2085U0001X
License
178349 (UT)
Practice address
523 N Sr 198
Suite 205
Salem, UT 84653
Phone
(385) 422-4715
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
178349UTMDDiagnostic Ultrasound Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 178349 UT Yes

Addresses

Primary practice location

523 N Sr 198
Suite 205
Salem, UT 84653

Mailing address

112 E Ama Fille LN
Elk Ridge, UT 84651-4516
Phone (505) 860-8060

Other providers in Salem, UT

All providers in Salem, UT · Diagnostic Ultrasound Physician in Utah

Sources for this page

Verify at the official NPI Registry.