| Bristol Health | |
|
1125 W Center St Orem UT 84057-5207 | |
| (801) 903-5903 | |
| (801) 515-0935 |
| Full Name | Bristol Health |
|---|---|
| Speciality | Clinic/center |
| Location | 1125 W Center St, Orem, Utah |
| Authorized Official Name and Position | Kelly Wosnik (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8019035903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol Health 935 S Orem Blvd Orem UT 84058-5011 Ph: (801) 903-5903 | Bristol Health 1125 W Center St Orem UT 84057-5207 Ph: (801) 903-5903 |
| NPI Number | 1346549060 |
|---|---|
| Provider Enumeration Date | 03/21/2011 |
| Last Update Date | 11/02/2020 |
| Certification Date | 11/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346549060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 327710-4405 (Utah) | Primary |
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