Individual
PAUL W BRINKERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
59 S MAIN ST, ROOSEVELT, UT 84066-3106
(435) 725-0999
Mailing address
59 S MAIN ST, ROOSEVELT, UT 84066-3106
(435) 725-0999
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870536042008
—
UT
01
—
87053604202001
BXBS
UT
Enumeration date
10/01/2006
Last updated
11/06/2007
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