Individual
JASON T BRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3225 W GORDON AVE STE 1, LAYTON, UT 84041-5728
(801) 397-6150
(801) 397-6151
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3000
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
49404210501
UT
Other
Enumeration date
07/01/2006
Last updated
03/07/2024
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