Individual
DR. BENJAMIN SANDS BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-8301
Mailing address
30 N 1900 E, #3C344 SOM, SALT LAKE CITY, UT 84132-0002
(801) 581-8301
(801) 581-3433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0063244
MD
2086S0129X
Vascular Surgery Physician
Primary
8690553-1205
UT
Other
Enumeration date
01/11/2007
Last updated
11/11/2021
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