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Individual

KARL BREITENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
379 NORTH 500 WEST, SUITE 1A, VERNAL, UT 84078
(435) 789-1165
(435) 789-1169
Mailing address
379 NORTH 500 WEST, SUITE 1A, VERNAL, UT 84078
(435) 789-1165
(435) 789-1169

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
85-173193-1205
UT

Other

Enumeration date
10/04/2006
Last updated
04/15/2010
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