# BRYANT J. BROWN, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124261185
- **Authorized official:** DR. BRYANT J. BROWN M.D. (OWNER)
- **Authorized official phone:** (801) 261-3605

## Contact information

- **Practice address:** 3970 S 700 E, SUITE 14, SALT LAKE CITY, UT 84107-2191
- **Practice address phone:** (801) 261-3605
- **Practice address fax:** (801) 262-9142
- **Mailing address:** 3970 S 700 E, SUITE 14, SALT LAKE CITY, UT 84107-2191
- **Mailing address phone:** (801) 261-3605
- **Mailing address fax:** (801) 262-9142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1579931205 | VI | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 06/08/2021