Individual
MR. GREGORY ALLEN RUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
3610 SOUTH 1000 WEST, SALT LAKE CITY, UT 84119-2311
(801) 288-8400
Mailing address
1958 MEADOWLAND AVE, WEST JORDAN, UT 84084-2311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
282617-6009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28261760000001
BLUE CROSS PROVIDER #
UT
Enumeration date
01/23/2006
Last updated
07/08/2007
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