Individual provider · Type 1 NPI

Ricky Travis Brandon

Student in an Organized Health Care Education/Training Program · Spanish Fork, UT

NPI number 1083379614 Active

Practice location

2368 E 1035 S
Spanish Fork, UT 84660-3505

Call (801) 836-4035 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083379614

Ricky Travis Brandon's National Provider Identifier is 1083379614, issued on Nov 8, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spanish Fork, UT. The record was last updated on Nov 8, 2021.