Healthcare Provider Details

I. General information

NPI: 1851225197
Provider Name (Legal Business Name): JAMES DRUCE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3784 W VALLEY VIEW DR
CEDAR HILLS UT
84062-8085
US

IV. Provider business mailing address

1799 N 950 W APT 26
PROVO UT
84604-1349
US

V. Phone/Fax

Practice location:
  • Phone: 801-407-9998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberF26-160758
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: