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Organization
SPORTS MEDICINE SPECIALISTS, LLC
Active
Organization
SPORTS MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN B BETTERIDGE MD (MANAGER)
(253) 227-5208
Entity
Organization
Contact information
Practice address
425 MEDICAL DR, SUITE # 220, BOUNTIFUL, UT 84010-4945
(801) 735-8826
Mailing address
425 MEDICAL DR, SUITE # 220, BOUNTIFUL, UT 84010-4945
(801) 735-8826
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
2948311205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
58953691205
UT
Other
Enumeration date
05/07/2006
Last updated
09/11/2025
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