| Brightside Services | |
|
4227 S Highland Dr Ste 7 Holladay UT 84124-2672 | |
| (435) 200-9965 | |
| (801) 553-2540 |
| Full Name | Brightside Services |
|---|---|
| Speciality | Family Medicine |
| Location | 4227 S Highland Dr Ste 7, Holladay, Utah |
| Authorized Official Name and Position | Cody Walker (OWNER) |
| Authorized Official Contact | 4352009965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightside Services 4227 S Highland Dr Ste 7 Holladay UT 84124-2672 Ph: (435) 200-9965 | Brightside Services 4227 S Highland Dr Ste 7 Holladay UT 84124-2672 Ph: (435) 200-9965 |
| NPI Number | 1265211221 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 5395198394 |
|---|---|
| Medicare Enrollment ID | O20240125003879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265211221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher T Romney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223055 PECOS PAC ID: 3274934682 Enrollment ID: I20210623000913 |
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