Organization
JOHN L. BEZZANT, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LLOYD BEZZANT M.D. (PHYSICIAN/BUSINESS OWNER)
(801) 785-7414
Entity
Organization
Contact information
Practice address
84 S MAIN ST, PLEASANT GROVE, UT 84062-2630
(801) 785-7414
Mailing address
PO BOX 830, PLEASANT GROVE, UT 84062-0830
(801) 785-7414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
162911-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528701330006
—
UT
Enumeration date
11/16/2007
Last updated
11/16/2007
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