Scott Bruderer in Draper - Physician Assistant
Scott Bruderer - NPI 1003988205
Scott Bruderer is a Physician Assistant in Draper, Utah. Scott Bruderer practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Scott Bruderer is 1003988205. The last update date is 2022-01-27.
Scott Bruderer's current location address is 96 E Kimballs Ln Ste 207, Draper, Utah. You can contact this provider via phone number 8015762300. The mailing address for Scott Bruderer is 96 E Kimballs Ln Ste 207, Draper, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Bruderer |
|---|---|
| Address | 96 E Kimballs Ln Ste 207, Draper, Utah |
| Phone Number | 8015762300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1003988205 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2022-01-27 |
Provider Mailing Address Detail
| Address | 96 E Kimballs Ln Ste 207 |
|---|---|
| City | Draper |
| State | Utah (UT) |
| Post Code | 840205025 |
| Phone Number | 8015762300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2828151206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Scott Bruderer by the Centers for Medicare & Medicaid Services?
The Scott Bruderer has been issued the NPI (National Provider Identifier) 1003988205, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Scott Bruderer?
The Scott Bruderer is situated at 96 E Kimballs Ln Ste 207, in the city of Draper, state of UT, with the zip code 840205025.
What is Scott Bruderer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Scott Bruderer is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003988205 to Scott Bruderer?
The Scott Bruderer received its 1003988205 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information related to Scott Bruderer most recently updated or refreshed?
The details pertaining to the Scott Bruderer, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-27.