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Organization

FREMONT COUNTY EMERGENCY PHYSICIANS PC

Active
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Organization

FREMONT COUNTY EMERGENCY PHYSICIANS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY NORTH D.O. (PRESIDENT)
(801) 423-3306
Entity
Organization

Contact information

Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(801) 423-3306
(801) 423-3309
Mailing address
PO BOX 1276, SALEM, UT 84653-1276
(801) 423-3306
(801) 423-3309

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary

Other

Enumeration date
02/02/2007
Last updated
12/07/2007
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