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Individual

DR. RENE BROWN LEDBETTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4021 S 700 E, SUITE 300, SALT LAKE CITY, UT 84107-2192
(800) 732-7176
(801) 284-6753
Mailing address
6 IPSWICH CIR NE, FORT WALTON BEACH, FL 32547-1746
(850) 862-9478
(850) 862-9478

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
45665
FL

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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