Individual
BRETT EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 296-8060
(801) 296-8050
Mailing address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 296-8060
(801) 296-8050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5110301-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5110301-1205
UT
208D00000X
General Practice Physician
Primary
5110301
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4575
—
UT
Enumeration date
03/29/2006
Last updated
11/18/2013
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