Organization
BRIGHTER PATH ADDICTION MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY W KING MD (OWNER)
(385) 292-8868
Entity
Organization
Contact information
Practice address
619 N 500 W, PROVO, UT 84601-1547
(385) 204-2949
(385) 204-2949
Mailing address
273 E 4000 N, PROVO, UT 84604-5030
(970) 260-1901
(385) 204-2949
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
02/21/2020
Last updated
03/02/2021
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