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Ryan Brubaker
NPI 1245745629 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1952 E Fort Union Blvd
Salt Lake City, UT 84121 - Phone
- (801) 942-3311
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-07
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