Organization
ORTHOUTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW FETZER BITNER M.D. (PHYSICIAN OWNER)
(435) 734-2151
Entity
Organization
Contact information
Practice address
990 MEDICAL DR, SUITE G4, BRIGHAM CITY, UT 84302-4713
(435) 734-2151
(435) 723-3391
Mailing address
990 MEDICAL DR, SUITE G4, BRIGHAM CITY, UT 84302-4713
(435) 734-2151
(435) 734-2192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447474929
—
UT
Enumeration date
04/13/2007
Last updated
07/13/2021
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