Individual
BRANDT L ESPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W STE 202, BLDG C, PROVO, UT 84604-8460
(801) 374-2367
(801) 374-2367
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
10204311-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P01167837
RAILROAD MEDICARE
MN
Enumeration date
06/16/2011
Last updated
11/27/2023
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