Individual
DR. BRADEN RUSS BRKLACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
12523 S CREEK MEADOW RD STE 105, RIVERTON, UT 84065-7299
(801) 253-6886
Mailing address
1583 E GREENLEY HILL DR, EAGLE MOUNTAIN, UT 84005-3812
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10861469-0501
UT
Other
Enumeration date
07/05/2017
Last updated
02/22/2021
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