Corbridge Podiatry Pllc | |
903 S Main St Ste A, Brigham City, UT 84302-3112 | |
(801) 515-7997 | |
Not Available |
Full Name | Corbridge Podiatry Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 903 S Main St Ste A, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215626833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Treg Kristian Corbridge |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851854574 PECOS PAC ID: 2961882550 Enrollment ID: I20220628003474 |
Mailing Address | Practice Location Address |
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Corbridge Podiatry Pllc 950 N Abbey Dr, North Salt Lake, UT 84054-5500 Ph: (801) 515-7997 | Corbridge Podiatry Pllc 903 S Main St Ste A, Brigham City, UT 84302-3112 Ph: (801) 515-7997 |
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Dr. Treg Corbridge, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 903 S Main St Ste A, Brigham City, UT 84302 Phone: 801-515-7997 |