Organization
BRIDGE MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE THOMAS (BILLING DIRECTOR)
(801) 921-5375
Entity
Organization
Contact information
Practice address
5825 HARRISON BLVD, SOUTH OGDEN, UT 84403
(801) 921-5375
(801) 610-6758
Mailing address
PO BOX 57567, MURRAY, UT 84157-0567
(801) 921-5375
(801) 610-6758
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8806956-0160
UT
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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