Organization
ADVANCED PRACTICE MEDICAL CLINIC, LLC
Active
Other names
Brand Paxton Reynolds
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAND PAXTON REYNOLDS FNP-C (OWNER)
(435) 843-8881
Entity
Organization
Contact information
Practice address
491 NORTH MAIN STREET, TOOELE, UT 84074-0922
(435) 843-8881
(435) 843-8802
Mailing address
491 N MAIN ST, TOOELE, UT 84074-1654
(435) 843-8881
(435) 843-8802
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
271062-4405
UT
Other
Enumeration date
02/12/2007
Last updated
12/17/2020
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