BRIAN M ELY

SOUTH JORDAN, UT
NPI1447468293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  8488408-1204)
Additional Taxonomies207Q00000X Family Medicine
(Licence: OH  58.001871)
Enumeration Date2007-05-17
Last Update Date2021-10-21
Business Address
Dr. BRIAN M ELY DO
5126 W DAYBREAK PKWY
SOUTH JORDAN, UT 84095-5994
Phone number: 801-213-4500
Mailing Address
Dr. BRIAN M ELY DO
PO BOX 510708
SALT LAKE CITY, UT 84151-0708
Phone number: 801-213-3900