Individual
DR. JOHN MARION BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
GEORGE E WAHLEN V A MEDICAL CTR, 500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2517
Mailing address
3893 W 8350 S, WEST JORDAN, UT 84088-5005
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
109296-9934
UT
152W00000X
Optometrist
18001659A
IN
Other
Enumeration date
08/01/2006
Last updated
07/16/2007
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