PROVIDENTIAL BBA OPERATING LP

BOUNTIFUL, UT
NPI1376325001
Doing Business AsSDCH PHYSICIAN GROUP
Entity TypeOrganization
Authorized ContactMICHELLE BROWN
CFO
801-397-8145
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RH0002X Internal Medicine, Hospice and Palliative Medicine
207RP1001X Internal Medicine, Pulmonary Disease
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
PROVIDENTIAL BBA OPERATING LP
401 S 400 E
BOUNTIFUL, UT 84010-4933
Phone number: 801-397-8145
Mailing Address
PROVIDENTIAL BBA OPERATING LP
481 S 400 E
BOUNTIFUL, UT 84010-4933
Phone number: 801-397-8145