Individual
PAUL BUGNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3870 STADIUM WAY, OGDEN, UT 84408-2701
(801) 726-0565
Mailing address
3870 STADIUM WAY, OGDEN, UT 84408-2701
(801) 726-0565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6312435-4810
UT
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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