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Brandon Blair, NCTMB
NPI 1205173697 · on the registry since 2013 · sole proprietor
Practice
- Address
- 455 E 400 S
Ste 20
Salt Lake City, UT 84111 - Phone
- (801) 633-9966
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah