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Organization
BRENDERLIN HEALTH LLC
Active
Organization
BRENDERLIN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ELLIS DPM (OWNER/ADMINISTRATOR)
(713) 377-2167
Entity
Organization
Contact information
Practice address
12592 S 150 E, DRAPER, UT 84020-8611
(713) 377-2167
Mailing address
12592 S 150 E, DRAPER, UT 84020-8611
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10105797-0501
UT
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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