Individual
SAMUEL DRUCE MONTMORENCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5126 W DAYBREAK PKWY, SOUTH JORDAN, UT 84009-5994
(801) 213-4500
Mailing address
12482 S RED ELM WAY, RIVERTON, UT 84065-7193
(801) 641-4872
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
2019032895
UT
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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