Bryan William Lundberg, PA-C
NPI #1619398021 in West Valley City, Utah
Provider Information
- NPI Number
- 1619398021
- Entity Type
- Individual
- Name
- Bryan William Lundberg, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 2, 2014
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 4071 S 4000 W
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-4143
- Phone
- (801) 265-0103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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