BRENT LEE THOMPSON

SLC, UT
NPI1063863876
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: UT  8021622-8900)
Enumeration Date2016-06-23
Last Update Date2016-06-23
Business Address
-- BRENT LEE THOMPSON Nurse Practitioner
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
Mailing Address
-- BRENT LEE THOMPSON Nurse Practitioner
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588