Individual
BRANDON BARGELOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1530 KENNY RD, COLUMBUS, OH 43212-2563
(740) 706-6942
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
506506
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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