Individual
MR. BRANDON NICHOLAS HEIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AEMT
Contact information
Practice address
2500 S LAKE PARK BLVD, WEST VALLEY CITY, UT 84120-8218
(801) 902-4238
Mailing address
2500 S LAKE PARK BLVD, WEST VALLEY, UT 84120-8218
(801) 902-4238
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2011026018
UT
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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