Individual
BRYCE LEISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(801) 626-6000
Mailing address
1435 VILLAGE DR DEPT 2801, OGDEN, UT 84408-2801
(801) 626-6000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
06/01/2015
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