Bruce Van Gundersen in Salt Lake City - Orthopedic
Bruce Van Gundersen - NPI 1952409476
Bruce Van Gundersen is a Orthopedic in Salt Lake City, Utah. Bruce Van Gundersen practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Bruce Van Gundersen is 1952409476. The last update date is 2007-07-08.
Bruce Van Gundersen's current location address is 4211 Holladay Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8012728471 and fax number 8014242219. The mailing address for Bruce Van Gundersen is 4211 Holladay Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bruce Van Gundersen |
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Address | 4211 Holladay Blvd, Salt Lake City, Utah |
Phone Number | 8012728471 |
Fax Number | 8014242219 |
Sole Proprietor | Y |
Credentials | DC, FACO |
NPI Number Detail
NPI Number | 1952409476 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4211 Holladay Blvd |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841242607 |
Phone Number | 8012728471 |
Fax Number | 8014242219 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 111Nx0800X |
Licence No | 161820-1202 |
Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
870395551005 | UT | -- | |
161820-1202 | UT | STATE LICENSE |
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What is the Bruce Van Gundersen's 1952409476?
The Bruce Van Gundersen's NPI (National Provider Identifier) Number is 1952409476. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Bruce Van Gundersen by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Van Gundersen has been assigned the NPI (National Provider Identifier) 1952409476. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Bruce Van Gundersen located?
The Bruce Van Gundersen is located at 4211 Holladay Blvd, Salt Lake City, UT 841242607.
What is the area of specialization for Bruce Van Gundersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Van Gundersen is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 111Nx0800X.
When was the Bruce Van Gundersen's information last updated?
The Bruce Van Gundersen's information was last updated on 2007-07-08.