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Individual

BRYAN D HUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8TH AVENUE & C STREET E8, SALT LAKE CITY, UT 84143-3403
(801) 408-1819
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84143-0001

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11129056-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/30/2013
Last updated
03/20/2024
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