BROCK FREIDENBERGER

LOGAN, UT
NPI1942022827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  14192566-4405)
Enumeration Date2024-10-30
Last Update Date2024-12-12
Business Address
BROCK FREIDENBERGER PMHNP
550 E 1400 N STE T
LOGAN, UT 84341-2450
Phone number: 435-716-1320
Mailing Address
BROCK FREIDENBERGER PMHNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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