Bridge Utah Medical Group

NPI #1104324904 in Logan, Utah

Provider Information

NPI Number
1104324904
Entity Type
Organization
Organization Name
Bridge Utah Medical Group
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jan 26, 2018
Last Updated
Mar 14, 2019

Practice Location

Address
1015 E 100 N
City
Logan
State
Utah
ZIP Code
84321-4873
Phone
(888) 221-0423

Authorized Official

Name
CAMERON G PETERSON, MD
Title
CHIEF MEDICAL OFFICER, MANAGING PAR
Phone
(801) 598-8337

Specialties & Taxonomy Codes

Specialty
Family Medicine
Physical Medicine & Rehabilitation

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