Individual
DR. JAN B BERNHISEL-BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 S WOODROW ST, MURRAY, UT 84107-5841
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
2673071205
UT
Other
Enumeration date
05/24/2006
Last updated
10/29/2024
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