Individual
BRIAN WILLARD LOVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2086 N 1700 W STE D, LAYTON, UT 84041-1164
(385) 515-4100
(385) 351-1150
Mailing address
11511 KATY FWY STE 100, HOUSTON, TX 77079-1902
(281) 600-5000
(281) 605-6705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10269
NV
207P00000X
Emergency Medicine Physician
Primary
1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
10269
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002018840
—
NV
Enumeration date
08/12/2005
Last updated
03/17/2018
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