MEDICARE: CRESTON P BANGERTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183700000X	Pharmacy Technician	5813646-1717	UT

General Provider Information

NPI Number	:	1982749966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRESTON P BANGERTER

Provider Business Mailing Address
First Line	:	4433 W 3100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-1509
Country	:	US
Telephone Number	:	801-597-7817
Fax Number	:

Provider Business Practice Location Address
First Line	:	4433 W 3100 S
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-1509
Country	:	US
Telephone Number	:	801-597-7817
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1659327658 — ALBERTSONS LLC
Practice Location Address:

1509 E VALLEY PKWY
ESCONDIDO, CA
92027-2315

Practice Phone: 760-735-5884
Practice Fax: 760-735-5930

1306967203 — GOLDTHWAITE ISD
Practice Location Address:

1509 HANNA VALLEY
GOLDTHWAITE, TX
76844

Practice Phone: 325-648-3531
Practice Fax:

1871709329 — MS. TERESE PALAZZO TRUJILLO N.P.
Practice Location Address:

1509 E VALLEY PKWY
ESCONDIDO, CA
92027-2315

Practice Phone: 760-746-1562
Practice Fax: 760-746-0711

1922248046 — CASTLE GROVE PROPERTIES
Practice Location Address:

1509 LINN ST
VALLEY FALLS, KS
66088-1185

Practice Phone: 785-945-3634
Practice Fax: 785-945-3682

Directions to “ CRESTON P BANGERTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.