Organization
BRIDGEWAY HEALTH ADVISORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DEKLERK (PRESIDENT)
(801) 758-6638
Entity
Organization
Contact information
Practice address
8100 S 1300 W STE A, WEST JORDAN, UT 84088-8307
(801) 792-0805
Mailing address
8100 S 1300 W STE A, WEST JORDAN, UT 84088-8307
(801) 792-0805
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
05/29/2020
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