Individual provider · NPI-1

Joseph P. Bridenstine, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Salt Lake City, UT

NPI number1700416617
StatusActive
Last updated in NPPESSep 3, 2025

Details

NPI
1700416617
Entity type
Individual (NPI-1)
Name
Joseph P. Bridenstine
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 20, 2020
Certification date
Sep 3, 2025
Last updated
Sep 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine14238975-1205UTYes

Practice location

65 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Phone 801-581-2121

Mailing address

65 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125

Phone 801-581-2121

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