NPI 1407438104

Brandon Bargeloh

Practitioner Computed Tomography Radiologic Technologist Salt Lake City, UT

Practice location

Address: 500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone: (801) 582-1565
Mailing address: 1530 Kenny Rd, Columbus, OH 43212-2563

Registered specialties

Computed Tomography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence 506506

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Registry record

NPI: 1407438104
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2021
Record last updated: 22 Apr 2021

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.