Individual
DR. BREVAN B BAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
565 W 465 N, SUITE 150, PROVIDENCE, UT 84332-4801
(435) 213-3029
(435) 213-9591
Mailing address
565 W 465 N, SUITE 150, PROVIDENCE, UT 84332-4801
(435) 213-3029
(435) 213-9591
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
7730185-7100
UT
Other
Enumeration date
12/07/2010
Last updated
10/13/2014
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