Organization
BOUNTIFUL FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J RODGERS D.O. (OWNER)
(801) 298-3812
Entity
Organization
Contact information
Practice address
65 W 400 N STE 200B, BOUNTIFUL, UT 84010-6475
(801) 298-3812
(877) 450-7813
Mailing address
65 W 400 N STE 200B, BOUNTIFUL, UT 84010-6475
(801) 298-3812
(877) 450-7813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30835038904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476806920005
—
UT
Enumeration date
07/31/2006
Last updated
12/31/2021
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