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Individual

MR. JOSHUA EUGENE BERGHOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 W LAYTON PKWY, LAYTON, UT 84041-3692
(801) 543-6270
Mailing address
550 N 300 W UNIT 1511, SALT LAKE CITY, UT 84103-2094

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
10800313-1702
UT

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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