Individual
BREENA MAGLEBY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 581-2955
Mailing address
7914 S FARM HOUSE LN, MIDVALE, UT 84047-2864
(435) 893-1651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8826252-1109
UT
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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