Tristan Scott Benedict
Technician, Other in St George, UT. Individual provider (NPI-1).
NPI number1780033795
StatusActive
Last updated in NPPESJun 9, 2016
Details
- NPI
- 1780033795
- Entity type
- Individual (NPI-1)
- Name
- Tristan Scott Benedict
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2016
- Last updated
- Jun 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 197272669 | UT | Yes |
Practice location
474 W 200 NSt George, UT 84770-4505
Phone 435-634-5600 · Fax 435-986-8700
Mailing address
260 S 460 WHurricane, UT 84737-2177
Phone 435-218-4927
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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