Individual
DANVIRG BRETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 VILLAGE DR, DEPT. 2805, OGDEN, UT 84408-5150
(801) 626-7656
Mailing address
856 E 5500 S, SOUTH OGDEN, UT 84403
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10374629-4810
UT
Other
Enumeration date
12/02/2015
Last updated
06/26/2017
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