Individual
MR. BRUCE WARELO SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, PA-C
Contact information
Practice address
4252 S HIGHLAND DR STE 200, HOLLADAY, UT 84124-2690
(801) 993-1800
Mailing address
7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT 84084-4312
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
116471-1206
UT
Other
Enumeration date
10/02/2006
Last updated
02/16/2021
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