Individual
DR. BRIAN LUIS PANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
273 E 10TH AVE, SALT LAKE CITY, UT 84103-2531
(801) 200-1050
Mailing address
273 E 10TH AVE, SALT LAKE CITY, UT 84103-2531
(801) 200-1050
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101285046
VA
2085R0202X
Diagnostic Radiology Physician
Primary
13800185-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
03/09/2025
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