Individual
JOHN LLOYD BEZZANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4A330 SCHOOL OF MEDICINE, SALT LAKE CITY, UT 84132-2409
(801) 581-6465
(801) 581-6484
Mailing address
558 S MURDOCK DR, PLEASANT GROVE, UT 84062-3271
(801) 581-6465
(801) 581-6484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
319
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006257102
IHC
UT
Enumeration date
09/23/2005
Last updated
01/29/2015
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