DAVID CORWIN BRAAK

PROVO, UT
NPI1104402205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  12959890-1205)
Enumeration Date2021-03-20
Last Update Date2022-11-28
Business Address
DAVID CORWIN BRAAK MD
395 W COUGAR BLVD STE 205
PROVO, UT 84604-3328
Phone number: 801-357-1770
Mailing Address
DAVID CORWIN BRAAK MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-1770
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