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 |