Individual
GRAHAM BRENT PRIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 763-3300
Mailing address
PO BOX 3810, SALT LAKE CITY, UT 84110-3810
(801) 432-2600
(801) 432-2668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5366606-4406
UT
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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