THEODORE C. BRISIMITZAKIS

SALT LAKE CITY, UT
NPI1245897859
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: UT  12777638-1204)
Enumeration Date2019-05-20
Last Update Date2022-04-07
Business Address
THEODORE C. BRISIMITZAKIS DO
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-5184
Mailing Address
THEODORE C. BRISIMITZAKIS DO
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-585-5184