Organization
BOUNTIFUL RADIOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY G PATCH M.D. (OFFICER IN CORPORATION)
(801) 292-3212
Entity
Organization
Contact information
Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(801) 299-2150
Mailing address
PO BOX 345, BOUNTIFUL, UT 84011-0345
(801) 292-3212
(801) 298-4065
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1808271205
UT
Other
Enumeration date
01/22/2007
Last updated
04/11/2011
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