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Organization

BRIDGE MEDICAL CONSULTING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY D SCOTT (OFFICE MANAGER)
(801) 647-8888
Entity
Organization

Contact information

Practice address
4501 S HAWARDEN DR, WEST VALLEY, UT 84119-5763
(801) 520-1007
Mailing address
4501 S HAWARDEN DR, WEST VALLEY, UT 84119-5763
(801) 520-1007

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
09/27/2012
Last updated
12/10/2012
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