Individual
DR. LEANNE MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
308 W 7200 S, MIDVALE, UT 84047-1041
(801) 871-0600
Mailing address
6101 E PIONEER FORK RD, SALT LAKE CITY, UT 84108-3614
(801) 871-0600
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
1174042801
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117404-2801
STATE LICENSE
UT
Enumeration date
04/08/2013
Last updated
03/07/2023
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