Search › Utah › 207L00000X
Jacob Brandenburg, M.D
NPI 1366975914 · on the registry since 2017
Practice
- Address
- School Of Medicine 30 North 1900 East Room 3c444
Salt Lake City, UT 84132 - Phone
- (801) 581-6393
- Clinicians at this address
- 3
Additional practice sites
- 3181 Sw Sam Jackson Park Rd, Portland, OR
Registry record
- Primary taxonomy
- 207L00000X
207L00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-28
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