Individual
BRENT MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6822 E 1000 S, FT DUCHESNE, UT 84026
(435) 725-6841
Mailing address
2112 S 500 E, VERNAL, UT 84078-4406
(435) 828-1975
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
327853-3102
UT
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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