Individual
BRANDY POWNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 MEDICAL DR, SALT LAKE CITY, UT 84112
(801) 587-4357
Mailing address
402 N MAPLE, WATERTOWN, SD 57201-2560
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
10690158-1205
UT
Other
Enumeration date
04/15/2014
Last updated
10/01/2018
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