SearchUtah106H00000X

Jacob Bryson

NPI 1174075618 · on the registry since 2016 · sole proprietor

Practice

Address
150 E 700 S
Salt Lake City, UT 84111
Phone
(801) 364-8080
Organisation at this address
Project Reality
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-01

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