Organization
BRYTERSON MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BRINGHURST FNP (OWNER)
(801) 367-9585
Entity
Organization
Contact information
Practice address
318 WEST 700 SOUTH, #62, MONA, UT 84645
(801) 367-9585
Mailing address
PO BOX 62, MONA, UT 84645-0062
(801) 367-9585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
07/21/2022
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