Individual
BRANDON D. TOMLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 662-4180
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 662-4180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
70979
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
12256630-1205
UT
208M00000X
Hospitalist Physician
70979
WI
Other
Enumeration date
04/28/2017
Last updated
05/27/2021
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