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Search › Utah › 1041C0700X

Jason Archuleta

NPI 1518460468 · on the registry since 2018 · sole proprietor

Practice

Address
6013 S Redwood Rd
Taylorsville, UT 84123
Phone
(801) 255-5131
Fax
(801) 658-0604
Organisation at this address
Bridgeway Integrated Healthcare Services
Bridgeway Integrated Healthcare Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,641

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-20

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