Bridge Utah Medical Group
Bridge Utah Medical Group is a Family Medicine Physician in Logan, Utah. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1015 E 100 NLogan, UT 84321-4873
Phone: (888) 221-0423
Fax: (888) 221-9816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1104324904 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cameron Peterson — Chief Medical Officer, Managing Par · (801) 598-8337 |
| NPI enumerated | January 26, 2018 |
| Last updated in NPPES | March 14, 2019 |
| Mailing address | Po Box 1468, Bountiful, UT 84011-1468 |
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