# BRETTON NEWMAN MD LLC

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

## Provider details

- **NPI number:** 1497936033
- **Authorized official:** BRETTON NEWMAN MD (PRESIDENT)
- **Authorized official phone:** (801) 910-0382

## Contact information

- **Practice address:** 1552 BRYAN AVE, SALT LAKE CITY, UT 84105-2802
- **Practice address phone:** (801) 910-0382
- **Mailing address:** PO BOX 27688, SALT LAKE CITY, UT 84127-0688
- **Mailing address phone:** (801) 534-1360
- **Mailing address fax:** (801) 366-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/28/2007