BRYANT DAVIS

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1932460102

Practice Address

21360 NORTH 1450 EAST
Moroni, UT 84646

Phone: (435) 445-5200

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes 272503815 (UT)

Frequently Asked Questions

NPI 1932460102 is the National Provider Identifier for BRYANT DAVIS, a Substance Abuse Rehabilitation Facility provider located in Moroni, UT. This NPI was enumerated on June 5, 2012.
BRYANT DAVIS practices at 21360 NORTH 1450 EAST, Moroni, UT 84646.

Quick Facts

NPI
1932460102
Type
Individual
Enumerated
Jun 5, 2012
Last Updated
Jun 5, 2012

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