Individual
GREGORY SHERMAN BRINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 281-3030
(801) 281-3033
Mailing address
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107-6771
(801) 281-3030
(801) 281-3033
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
169319-1205
UT
207W00000X
Ophthalmology Physician
1693191205
UT
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
169319-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003029400
—
ID
05
—
108068700
—
WY
01
—
180002878
RAILROAD MEDICARE
—
01
—
870525682
TAX ID #
—
Enumeration date
12/15/2005
Last updated
02/05/2018
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