| Brett Luddington, Inc. | |
|
7430 S Creek Rd Ste 104 Sandy UT 84093-6158 | |
| (801) 981-8795 | |
| (801) 987-8051 |
| Full Name | Brett Luddington, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7430 S Creek Rd, Sandy, Utah |
| Authorized Official Name and Position | Brett Spiers Luddington (PRESIDENT) |
| Authorized Official Contact | 8019818795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Luddington, Inc. 7430 S Creek Rd Ste 104 Sandy UT 84093-6158 Ph: (801) 981-8795 | Brett Luddington, Inc. 7430 S Creek Rd Ste 104 Sandy UT 84093-6158 Ph: (801) 981-8795 |
| NPI Number | 1154750149 |
|---|---|
| Provider Enumeration Date | 11/11/2013 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154750149 | NPI | - | NPPES |
| U000086375 | Other | UT | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4806041-1202 (Utah) | Primary |
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