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Creston Bangerter
NPI 1982749966 · on the registry since 2007
Practice
- Address
- 4433 W 3100 S
West Valley City, UT 84120 - Phone
- (801) 597-7817
Registry record
- Primary taxonomy
- 183700000X
183700000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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