Individual
JOHN F BERMEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3465 S 4155 WEST, SUITE 5, SALT LAKE CITY, UT 84120-2013
(801) 967-0282
(801) 967-0565
Mailing address
3465 S PIONEER PARKWAY, SUITE 5, SALT LAKE CITY, UT 84129-2013
(801) 967-0282
(801) 967-0565
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1597111205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19010400
OWCP
—
Enumeration date
09/27/2006
Last updated
07/08/2007
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