ELISE BRINSON FAZIO

OGDEN, UT
NPI1710366299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  11176326-1204)
Enumeration Date2015-05-29
Last Update Date2019-11-14
Business Address
ELISE BRINSON FAZIO DO
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403-3287
Phone number: 801-387-7900
Mailing Address
ELISE BRINSON FAZIO DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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