Individual
DR. BRYCE DEE ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
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
174400000X
Specialist
Primary
1644361205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52858207000001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
01/04/2007
Last updated
03/17/2015
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