Individual provider · Type 1 NPI

Brandon Wilde

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1871223099 Active

Practice location

50 N Medical Dr
Salt Lake City, UT 84132-0001

Call (801) 581-2121 Map

Mailing address

1139 E 200 S # 1139
Salt Lake City, UT 84102-2503

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 1871223099

Brandon Wilde's National Provider Identifier is 1871223099, issued on Jun 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 11, 2022.