Individual
DR. BRYAN R MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, 3C120 SOM, SALT LAKE CITY, UT 84132-0001
(801) 585-1626
Mailing address
50 N MEDICAL DR, 3C120 SOM, SALT LAKE CITY, UT 84132-0001
(801) 585-1626
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11014033A
IN
207Y00000X
Otolaryngology Physician
Primary
8884569-1205
UT
Other
Enumeration date
05/22/2008
Last updated
11/20/2021
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