Individual
DR. BRUCE W JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5171 S COTTONWOOD ST STE 810, MURRAY, UT 84107-5705
(801) 507-9800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-9800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
001037
IA
103G00000X
Clinical Neuropsychologist
Primary
11569209-2501
UT
Other
Enumeration date
07/30/2007
Last updated
03/04/2021
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