Individual
DR. BRIAN CLINT HALES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1120
(801) 774-7140
Mailing address
204 N 2350 E, LAYTON, UT 84040-3101
(801) 540-6792
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
180496-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870571510003
—
UT
Enumeration date
12/15/2005
Last updated
07/08/2007
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