ANDREW MACKAY BREIVIK

PROVO, UT
NPI1255893426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  12751732-1205)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CO  DR.0067961)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-04
Last Update Date2022-11-21
Business Address
Dr. ANDREW MACKAY BREIVIK MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7850
Mailing Address
Dr. ANDREW MACKAY BREIVIK MD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7850