BRADY S WELLS

PROVO, UT
NPI1720616170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  13850058-1204)
Enumeration Date2020-03-31
Last Update Date2024-06-28
Business Address
BRADY S WELLS DO
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
Mailing Address
BRADY S WELLS DO
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400
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