Individual
WENDY A BREYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5171 S COTTONWOOD ST STE 610, MURRAY, UT 84107-5704
(801) 507-3630
Mailing address
5171 S COTTONWOOD ST, MURRAY, UT 84107-5704
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
48342921205
UT
207RH0003X
Hematology & Oncology Physician
MD60891954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008996101
IHC HEALTH PLANS
UT
01
—
36-00034
UNITED HEALTHCARE
UT
01
—
594105
DMBA
UT
01
—
61674
PEHP
UT
01
—
830007438
PALMETTO GBA
—
05
—
870281028000
—
UT
01
—
870281028WAB
EMIA
UT
01
—
QM000046574
ALTIUS
UT
Enumeration date
06/04/2006
Last updated
08/10/2021
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