Individual provider · Type 1 NPI
Braden Russ Brklacich, DPM
Foot & Ankle Surgery Podiatrist · Riverton, UT
NPI number
1609397207
Active
Practice location
12523 S Creek Meadow Rd Ste 105
Riverton, UT 84065-7299
Mailing address
1583 E Greenley Hill Dr
Eagle Mountain, UT 84005-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 10861469-0501 (UT) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Riverton
About NPI 1609397207
Braden Russ Brklacich, DPM's National Provider Identifier is 1609397207, issued on Jul 5, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Riverton, UT. The record was last updated on Feb 22, 2021.