DAVID JOSHUA BROCKBANK

SALT LAKE CITY, UT
NPI1710222310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  7034673-4405)
Enumeration Date2012-12-07
Last Update Date2016-04-01
Business Address
-- DAVID JOSHUA BROCKBANK N.P.-C
441 S REDWOOD RD
SALT LAKE CITY, UT 84104-3539
Phone number: 801-973-2588
Mailing Address
-- DAVID JOSHUA BROCKBANK N.P.-C
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-860-1615
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