NPI 1003988205

Scott Bruderer, PA

Practitioner Physician Assistant Draper, UT

Practice location

Address: 1126 E 12300 S, Draper, UT 84020-9095
Phone: (801) 545-0500
Fax: (801) 545-0626
Mailing address: 10433 S Redwood Rd STE 2, South Jordan, UT 84095-8502

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2828151206 (UT)

Other Physician Assistant providers in Utah →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 282815-1206 (UT)

Registry record

NPI: 1003988205
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2006
Record last updated: 19 Mar 2025

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.