Individual
CODY MRBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 S REDWOOD RD., SUITE E, WEST JORDAN, UT 84084
(801) 776-8670
Mailing address
14404 SHEEPROCK DR, HERRIMAN, UT 84096-3455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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