| NPI | 1578322632 |
|---|---|
| Doing Business As | RIDGE HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ELDRIDGE Owner 801-310-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-06-27 |