Individual
MR. NATHAN GREEN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
777 N MAIN ST, 777 N MAIN, EPHRAIM, UT 84627-1165
(435) 283-8194
(435) 283-8205
Mailing address
718 E 25 S, 718 E 25 S, EPHRAIM, UT 84627-1223
(801) 699-9029
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5032957-1701
UT
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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