Individual
BRYAN E PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-4384
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56782
WY
363L00000X
Nurse Practitioner
Primary
14293005-4405
UT
Other
Enumeration date
09/06/2017
Last updated
08/03/2026
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