Individual
BRIAN WILLIAM LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 NORTH 1900 EAST, ROOM 4C104, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, SALT LAKE CITY, UT 84132
(801) 581-7606
Mailing address
26 NORTH 1900 EAST, WINTROBE 701, SALT LAKE CITY, UT 84132-0002
(801) 581-7806
(801) 585-3355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10491952-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
10491951-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
07/14/2023
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