Individual
TREVAN BRYCE BIDDULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
155 1ST AVE APT 10, SALT LAKE CITY, UT 84103-2380
(801) 898-2441
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
UT000109490307
UT
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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