BESSA, INC
Ambulatory Health at 100, Roosevelt, UT

License number
Utah 2005-ESRD-229
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: MR. EDWIN C BULLOCH
Title: ADMINISTRATOR
Phone: (435) 722-5056
Address
Address
384 NORTH 100 WEST #74-6, Roosevelt, UT 84066
National Provider ID: 1598871337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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