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Individual

CORY L BRINGHURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1034 NORTH 500 WEST, PROVO, UT 84604
(801) 373-7850
Mailing address
PO BOX 10, SPANISH FORK, UT 84660-0010
(866) 898-7136
(616) 975-9824

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3393821205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87049235711001
BCBS
05
D2193
UT
Enumeration date
06/07/2006
Last updated
01/02/2008
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