Individual
BREANNA P. STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI DR RM 5N101, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI DR RM 5N101, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14164942-1205
UT
Other
Enumeration date
03/23/2023
Last updated
09/26/2024
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