SearchUtah101YP2500X

Brand Bonsall

NPI 1427556018 · on the registry since 2018

Practice

Address
2711 Santa Clara Drive
Santa Clara, UT 84765
Phone
(435) 674-9310
Organisation at this address
Second Nature Entrada
Second Nature Entrada
Second Nature Entrada Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Sex
Male
Record last updated
2018-01-29

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