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Individual

BRUCE A O'VERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 N 600 E, STE 101, LOGAN, UT 84341
(435) 750-5599
(435) 750-0861
Mailing address
1325 N 600 E STE 101, LOGAN, UT 84341-6743
(435) 213-3970
(435) 355-3746

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
372602-1205
UT
208000000X
Pediatrics Physician
Primary
372602-1205
UT

Other

Enumeration date
08/05/2006
Last updated
01/18/2023
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