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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRUCE WARELO SPERRY, PT, PA-C

Active

MR. BRUCE WARELO SPERRY, PT, PA-C is a Surgical Physician Assistant healthcare provider located in HOLLADAY, Utah. NPI 1760575518 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · HOLLADAY, UT

Registration Details

NPI Number
1760575518
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2006 (19.908621103442 yrs)
Last Updated
Feb 16, 2021
License
116471-1206 (UT)

Practice Information

Address
4252 S HIGHLAND DR STE 200
HOLLADAY, UT, 841242690
Browse UT providers · Browse ZIP 84124
Phone
8019931800
Primary Specialty
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.