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Bertram Pride
NPI 1518593110 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1640 Redstone Center Dr
Park City, UT 84098 - Phone
- (214) 264-9711
- Organisation at this address
- Jasima Reynolds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-16
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