Individual
DR. WALTER EVAN BRODIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2041 E 6025 S, OGDEN, UT 84403-5270
(801) 479-6574
Mailing address
2041 E 6025 S, OGDEN, UT 84403-5270
(801) 479-6574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1880451205
UT
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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