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Gary Brundage
NPI 1861707036 · on the registry since 2010
Practice
- Address
- 5640 S 3500 W
Roy, UT 84067 - Phone
- (017) 732-8388
- Fax
- (801) 773-3025
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NV, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-29
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