GRAHAM BRENT PRIME

AMERICAN FORK, UT
NPI1255686259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  5366606-4406)
Enumeration Date2012-07-17
Last Update Date2012-07-17
Business Address
-- GRAHAM BRENT PRIME CRNA
170 N 1100 E
AMERICAN FORK, UT 84003-2096
Phone number: 801-763-3300
Mailing Address
-- GRAHAM BRENT PRIME CRNA
PO BOX 3810
SALT LAKE CITY, UT 84110-3810
Phone number: 801-432-2600