Bruderer, Scott

Bruderer, Scott is an individual health care provider with primary practice located at 96 E Kimballs Ln Ste 207 , Draper UT 84020-5025. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bruderer, Scott can be contacted via phone (801) 576-2300.

Contact Information

Primary practice address
96 E Kimballs Ln Ste 207 Draper UT 84020-5025
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2828151206 Utah

Profile Details

NPI number 1003988205
LBN Legal business name Bruderer, Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jan 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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