BRENT L GRIFFIN

PROVO, UT
NPI1023038114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  1619961205)
Enumeration Date2006-07-20
Last Update Date2021-08-12
Business Address
BRENT L GRIFFIN MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-4542
Mailing Address
BRENT L GRIFFIN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-4542