Search › Utah › 363A00000X
Bryan Lundberg, PA-C
NPI 1619398021 · on the registry since 2014
Practice
- Address
- 4071 S 4000 W
West Valley City, UT 84120 - Phone
- (801) 265-0103
- Organisation at this address
- Jordan Ridge Family Medicine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2525 S Lake Park Blvd, West Valley City, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-07
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