SearchUtah207RG0100X

Bryce Haslem, M.D

NPI 1124286133 · on the registry since 2008

Practice

Address
1055 N 500 W Ste 100
Provo, UT 84604
Phone
(801) 374-1268
Fax
(801) 812-5454
Organisation at this address
Revere Health Pc
Revere Health Pc
Total Renal Care Inc
Total Renal Care Inc
Central Utah Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Also registered as
207Q00000X
207R00000X
Licence states on file
IA, UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah