Individual
MR. BRANDON RICHARD DABB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5674 WOODLAND DR, MOUNTAIN GREEN, UT 84050-9914
(801) 372-1888
Mailing address
PO BOX 12734, 221 N WASHINGTON BLVD, OGDEN, UT 84412-2734
(801) 710-6569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4918889-4406
UT
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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