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Individual

DR. BRIAN MAYNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, FNP-BC

Contact information

Practice address
630 E 1400 N, LOGAN, UT 84341-2691
(435) 915-4465
(435) 799-3664
Mailing address
2986 W 2600 S, WEST HAVEN, UT 84401-5006
(801) 589-0631

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
348531-4405
UT

Other

Enumeration date
05/10/2021
Last updated
02/06/2023
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