Individual
BRADY ARDELL BYINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3945 WASHINGTON BLVD, OGDEN, UT 84403-1825
(801) 479-4105
Mailing address
3945 WASHINGTON BLVD, OGDEN, UT 84403-1825
(801) 479-4105
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7657406-8900
UT
Other
Enumeration date
06/27/2020
Last updated
12/03/2020
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