BLUEROCK MEDICAL LLC NPI 1629419452

NPI Information

BLUEROCK MEDICAL LLC is a specialist in Provo, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BLUEROCK MEDICAL LLC NPI is 1629419452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3152 N UNIVERSITY AVE
SUITE 130
PROVO, UT
ZIP 84604-745
Phone: (801) 437-4895
Fax: (801) 229-1003

The provider's authorized official is Martha Hodges .
The authorized official title is Billing Manager and has the following contact phone number (801) 437-4895.

The enumeration date for this NPI number is 7/9/2013 and was last updated on 7/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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