# BOUNTIFUL FAMILY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174539142
- **Authorized official:** MR. BRIAN J RODGERS D.O. (OWNER)
- **Authorized official phone:** (801) 298-3812

## Contact information

- **Practice address:** 65 W 400 N STE 200B, BOUNTIFUL, UT 84010-6475
- **Practice address phone:** (801) 298-3812
- **Practice address fax:** (877) 450-7813
- **Mailing address:** 65 W 400 N STE 200B, BOUNTIFUL, UT 84010-6475
- **Mailing address phone:** (801) 298-3812
- **Mailing address fax:** (877) 450-7813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30835038904 | UT | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 12/31/2021