NPI 1316956576
Paul Christian Bruderer, OD
Practice location
- Address
- 2782 S 5600 W STE 101, West Valley City, UT 84120-5592
- Phone
- (801) 969-9999
- Fax
- (801) 746-1007
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1316956576
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Aug 2006
- Record last updated
- 1 Jul 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.