Brigham Internal Medicine

NPI 1003246950 - Internal Medicine - 207R00000X

NPI Details
NPI 1003246950
Enumeration Date 11/13/2013
Last Updated 11/13/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN R JOHN
Position OWNER
Phone (435) 734-4088
Fax (435) 734-4249
Practice Location
950 MEDICAL DR
SUITE 106
BRIGHAM CITY UT, 84302-4724, US
Phone (435) 734-4088
Fax (435) 734-4249
Business Location
950 MEDICAL DR
SUITE 106
BRIGHAM CITY UT, 84302-4724, US
Phone (435) 734-4088
Fax (435) 734-4249
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Brigham Internal Medicine NPI is 1003246950, taxonomy code is 207R00000X Brigham Internal Medicine physically located at 950 Medical Dr, Brigham City UT, 84302-4724. NPI Number 1033115704 has the healthcare provider type.

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1003246950 NPI number is provided on an as is basis without warranty of any kind. 1003246950 is maintained by the National Plan & Provider Enumeration System. The contents of Brigham Internal Medicine are for informational purposes only.