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BRYCE DEE ALLRED MD A PC NPI 1366803736


NPI Information

NPI: 1366803736
Provider Name: BRYCE DEE ALLRED MD A PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3584 W 9000 S
SUITE 400
WEST JORDAN, UT
ZIP 84088
Phone: (801) 569-2456
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BRYCE DEE ALLRED MD A PC is a clinic center in West Jordan, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRYCE DEE ALLRED MD A PC NPI is 1366803736. The provider is registered as an organization entity type.

The provider's business location address is:

3584 W 9000 S
SUITE 400
WEST JORDAN, UT
ZIP 84088-710
Phone: (801) 569-2456
Fax: (801) 569-2080

The provider's authorized official is Bryce Dee Allred .
The authorized official title is President and has the following contact phone number (801) 569-2456.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 5/13/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterUTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15295820700000MEDICAIDUTAH
2D07525MEDICARE UPINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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