Individual
RYAN CLARK ELDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2655 S LAKE ERIE DR STE B, WEST VALLEY CITY, UT 84120-7351
(385) 248-2747
Mailing address
14308 S WAYFIELD DR, DRAPER, UT 84020-8179
(385) 248-2747
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/30/2025
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