Individual
DR. BRENDA M RITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
390 N MAIN ST, BOUNTIFUL, UT 84010-6046
(801) 397-6350
(801) 294-1183
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 492-1991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12397467-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD450482
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028900860001
—
PA
Enumeration date
07/10/2008
Last updated
03/15/2024
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