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Individual

DR. W ROBERT BRINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5444 S. GREEN ST., MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897
Mailing address
5444 S. GREEN ST., MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
155062-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002086779
NV
05
04692
UT
05
120729600
WY
05
807116100
ID
05
924135
AZ
01
P00207057
RR MEDICARE
UT
01
P00651519
RR MEDICARE
UT
Enumeration date
07/05/2005
Last updated
06/07/2017
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