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1932278785
BRIAN GARY DRAGE
SALT LAKE CITY, UT
NPI
1932278785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 348406-1205)
Enumeration Date
2006-11-07
Last Update Date
2011-06-28
Business Address
Dr. BRIAN GARY DRAGE M.D.
4460 SO HIGHLAND DR #400
SALT LAKE CITY, UT 84124
Phone number: 801-272-4111
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Mailing Address
Dr. BRIAN GARY DRAGE M.D.
4460 HIGHLAND DR #400
SALT LAKE CITY, UT 84124
Phone number: 801-272-4111
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