Individual
BRIAN WARD TEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
984 S 930 W, PAYSON, UT 84651-3126
(801) 465-5111
Mailing address
984 S 930 W, PAYSON, UT 84651-3126
(801) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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