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BRANDON PARK, APRN
APRN
Nurse Practitioner
NPI: 1811960123IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
3749704405(UT)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2004
Contact & Hours
- Address
- 4700 HARRISON BLVD
OGDEN, UT 84403 - Phone
- (801) 475-3300
Quick Facts
- NPI
- 1811960123
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 22
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