Individual
DR. BRUCE CRAIG DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12391 S 4000 W, RIVERTON, UT 84096-7012
(801) 302-1700
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036132
GA
Other
Enumeration date
04/05/2006
Last updated
04/09/2024
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