# NATUROPATHIC MEDICAL, P.C.

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

## Provider details

- **NPI number:** 1558751438
- **Authorized official:** DR. BREVAN B. BAUGH N.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (435) 213-3029

## Contact information

- **Practice address:** 565 W. 465 N., SUITE 150, PROVIDENCE, UT 84332
- **Practice address phone:** (435) 213-3029
- **Practice address fax:** (435) 213-9591
- **Mailing address:** 565 W. 465 N., SUITE 150, PROVIDENCE, UT 84332
- **Mailing address phone:** (435) 213-3029
- **Mailing address fax:** (435) 213-9591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | 7730185-7100 | UT | Yes |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 01/29/2015
