Individual
BRANDON LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1151 EAST HIGHWAY 40, ROOSEVELT, UT 84066
(435) 459-9828
Mailing address
PO BOX 1780, ROOSEVELT, UT 84066-1780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8432483-1202
UT
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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