Individual
MR. KAMERON M BROADHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
132 N MAIN ST, PAYSON, UT 84651-1851
(801) 465-0125
(801) 465-9189
Mailing address
132 N MAIN ST, PAYSON, UT 84651-1851
(801) 465-0125
(801) 465-9189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3404531701
UT
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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