Individual
BRANDON MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
7952 N SEATTLE SLEW ROAD, EAGLE MOUNTAIN, UT 84005
(801) 821-0425
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9393449-8901
UT
Other
Enumeration date
11/19/2020
Last updated
06/15/2021
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