Individual
BART STEVEN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5600
Mailing address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6855549-4408
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
02/01/2011
Last updated
09/13/2021
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