Individual
BRYAN THOMAS BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 W WINCHESTER ST STE 101, SALT LAKE CITY, UT 84107-5609
(801) 263-6367
Mailing address
641 W 1290 N, LEHI, UT 84043-2327
(801) 664-6755
(602) 735-3405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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