NPI 1043456999

Bountiful Diabetes Clinic LLC

Organisation Specialist Bountiful, UT

Practice location

Address: 440 Medical Dr., Bountiful, UT 84010
Phone: (801) 294-0191
Mailing address: 1560 South Renaissance Town Drive #250, Bountiful, UT 84010

Authorised official

Name: Albert Brown
Title: Owner
Phone: (801) 294-0191

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 200836457 (UT)

Other Specialist providers in Utah →

Registry record

NPI: 1043456999
Entity type: Organization
NPI issued: 24 Dec 2008
Record last updated: 24 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.