Creston P Bangerter

NPI #1982749966 in West Valley City, Utah

Provider Information

NPI Number
1982749966
Entity Type
Individual
Name
Creston P Bangerter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacy Technician
Enumeration Date
Feb 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4433 W 3100 S
State
Utah
ZIP Code
84120-1509
Phone
(801) 597-7817

Specialties & Taxonomy Codes

Specialty
Pharmacy Technician

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