Individual
DR. BRANDON BIRG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CLINIC, SALT LAKE CITY, UT 84102-2310
(385) 282-2000
Mailing address
389 S 900 E, SALT LAKE CLINIC, SALT LAKE CITY, UT 84102-2310
(385) 282-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8212530-1205
UT
Other
Enumeration date
07/08/2008
Last updated
11/04/2013
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