Bedolla, Cristal
Bedolla, Cristal is an individual health care provider with primary practice located at 3460 South 4155 West #3460 , West Valley UT 84120. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bedolla, Cristal can be contacted via phone (801) 964-3100.Contact Information
Primary practice address
3460 South 4155 West #3460
West Valley UT 84120
Phone: (801) 964-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 118051451206 | Utah |
Profile Details
| NPI number | 1588256622 |
|---|---|
| LBN Legal business name | Bedolla, Cristal |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2021 |
| Last updated | Feb 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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