Individual
CRISTAL BEDOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3460 SOUTH 4155 WEST #3460, WEST VALLEY, UT 84120
(801) 964-3100
Mailing address
4589 GLASMANN WAY, OGDEN, UT 84403-3083
(801) 391-5963
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
118051451206
UT
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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