Individual
DR. SHAIDA TALEBREZA BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N 1900 E, AB 193 SOM, SALT LAKE CITY, UT 84132-0001
(801) 587-9103
(801) 585-3884
Mailing address
2799 BEVERLY STREET, SALT LAKE CITY, UT 84106
(801) 300-0903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5748123-1205
UT
Other
Enumeration date
10/26/2006
Last updated
12/17/2021
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