Individual
SETH JONAH BRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 N STATE ST, PROVO, UT 84604-1012
(801) 373-2499
(801) 373-5200
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E5251
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
11866363-0501
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11866363-0501
LICENSE
UT
Enumeration date
05/01/2013
Last updated
08/03/2021
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