NPI 1104317627

Bennett Joseph Chargo

Practitioner Audiologist Provo, UT

Practice location

Address: 1832 N 1120 W, Provo, UT 84604-1179
Phone: (801) 495-4800
Mailing address: 1877 S 200 E APT 11, Salt Lake City, UT 84115-2158

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 10834959-4101 (UT)

Other Audiologist providers in Utah →

Registry record

NPI: 1104317627
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2018
Record last updated: 21 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.