NPI 1275160947

Samuel Druce Montmorency

Practitioner Basic Emergency Medical Technician South Jordan, UT

Practice location

Address: 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
Phone: (801) 213-4500
Mailing address: 12482 S Red Elm Way, Riverton, UT 84065-7193

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 2019032895 (UT)

Other Emergency Medical Technician, Basic providers in Utah →

Registry record

NPI: 1275160947
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Mar 2020
Record last updated: 24 Mar 2020

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.