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Bryant Davis
NPI 1932460102 · on the registry since 2012 · sole proprietor
Practice
- Address
- 21360 North 1450 East
Moroni, UT 84646 - Phone
- (435) 445-5200
- Organisation at this address
- Lighthouse Ranch
Lighthouse Ranch Llc
Blue Hills Residential Treatment
Blue Hills Residential Treatment
Salt Creek Addiction Recovery ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- Substance Abuse Rehabilitation Facility
324500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-05
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