IndividualActive
Bryson Renouard
NPI 1811523715 · Emergency Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1811523715
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- U4613 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1441 E Dawn Dr
Salt Lake City, UT 84121-2702
Phone: (425) 879-3188
Approximate (ZIP-level) locationGet directions
Mailing address
1801 Ruthie Run
Cedar Park, TX 78613-7155
Registry dates
- Enumerated
- 2020-03-23
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.