Individual provider · NPI-1
Wesley Ronald Brown, MD
Preventive Medicine, Occupational Medicine · Salt Lake City, UT
NPI number1932229416
StatusActive
Last updated in NPPESOct 15, 2012
Details
- NPI
- 1932229416
- Entity type
- Individual (NPI-1)
- Name
- Wesley Ronald Brown
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Oct 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | MD00043746 | UT | Yes |
Practice location
4000 S 200 ESte #10
Salt Lake City, UT 84107
Phone 801-268-4141 · Fax 801-261-8609
Mailing address
4000 S 200 ESte #10
Salt Lake City, UT 84107
Phone 801-268-4141 · Fax 801-261-8609
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