Individual
DR. BRUCE BENNETT REID
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE, #154, SALT LAKE CITY, UT 84103-2853
(801) 408-8666
Mailing address
324 10TH AVE, #154, SALT LAKE CITY, UT 84103-2853
(801) 408-8666
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
3186281205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854059169
—
UT
Enumeration date
06/12/2006
Last updated
07/09/2007
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