Individual
BRIDGER R OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
8265 W 2700 S, MAGNA, UT 84044-1323
(435) 215-3504
Mailing address
12896 S 1300 W, RIVERTON, UT 84065-6637
(435) 215-3504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7575723-6005
UT
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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