NPI
Renaissance Ranch Bluffdale Men's Program
NPI 1568909117
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2017-01-20
- Last updated
- 2017-02-02
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Specialties
Licenses
- License UT
- 26065
- License UT
- 26066
Location
- Practice location
- 2973 W 13800 S
- City
- Bluffdale UT
- Postal code
- 84065-8202
- Phone
- (801) 545-0406
Organization contact
- Name
- Wendy Patton
- Title
- Administative Director
- Phone
- (801) 856-7836
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bluffdale, UT. 125 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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