Organization
BRIAN W FUKUSHIMA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE BENARD (OFFICE MANAGER)
(801) 747-1020
Entity
Organization
Contact information
Practice address
5323 SOUTH WOODROW STREET, SUITE 200, MURRAY, UT 84107
(801) 747-1020
(801) 747-1023
Mailing address
5323 SOUTH WOODROW STREET, SUITE 200, MURRAY, UT 84107
(801) 747-1020
(801) 747-1023
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
5280409-1205
UT
Other
Enumeration date
12/19/2007
Last updated
03/04/2011
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