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BRANT FONNESBECK, DO

DO

Family Medicine Physician

NPI: 1033156849Individual

Specialties, Licenses & Credentials

Family Medicine

Code: 207Q00000X

5953772-1204(UT)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE

Class of 2004

Research & Publications (1)

Data courtesy of the U.S. National Library of Medicine (NLM). Ltrl is not affiliated with or endorsed by NLM.

Contact & Hours

Address
550 E 1400 N STE K
LOGAN, UT 84341

Quick Facts

NPI
1033156849
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1
Years in Practice
22
Publications
1

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