Organization
NORTHERN UTAH MEDICAL SUPPLY LLC
Active
Other names
HP Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BRUCE PUGSLEY DO (DO/OWNER)
(435) 787-2000
Entity
Organization
Contact information
Practice address
1030 S MEDICAL DR STE A, BRIGHAM CITY, UT 84302-3281
(435) 723-9700
(435) 723-9710
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
05/24/2023
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