Organization · Type 2 NPI

Bluerock Medical LLC

Specialist · Provo, UT

NPI number 1629419452 Active

Practice location

3152 N University Ave, Suite 130
Provo, UT 84604-4745

Call (801) 437-4895 Map

Fax (801) 229-1003

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1629419452

Bluerock Medical LLC's National Provider Identifier is 1629419452, issued on Jul 9, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Provo, UT. The record was last updated on Jul 9, 2013.