Individual
BRYAN MISKIMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1317 KERSHAW ST, OGDEN, UT 84403-0403
(360) 951-6872
Mailing address
1317 KERSHAW ST, OGDEN, UT 84403-0403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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