NPI | 1548302268 |
---|---|
Doing Business As | BRAND PAXTON REYNOLDS |
Entity Type | Organization |
Authorized Contact | BRAND PAXTON REYNOLDS Owner 435-843-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: UT 271062-4405) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2020-12-17 |