Organization
BRYCE DEE ALLRED MD A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYCE DEE ALLRED M.D. (PRESIDENT)
(801) 569-2456
Entity
Organization
Contact information
Practice address
3584 W 9000 S, SUITE 400, WEST JORDAN, UT 84088-5710
(801) 569-2456
(801) 569-2080
Mailing address
3584 W 9000 S, SUITE 400, WEST JORDAN, UT 84088-5710
(801) 569-2456
(801) 569-2080
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5295820700000
—
UT
Enumeration date
03/14/2016
Last updated
05/13/2016
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