BRANT FONNESBECK, DO
Family Medicine
Active
Individual
NPI: 1033156849
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 5953772-1204 (UT) |
Frequently Asked Questions
NPI 1033156849 is the National Provider Identifier for BRANT FONNESBECK, DO, a Family Medicine provider located in Logan, UT. This NPI was enumerated on June 1, 2006.
BRANT FONNESBECK, DO practices at 550 E 1400 N STE K, Logan, UT 84341.
Quick Facts
- NPI
- 1033156849
- Type
- Individual
- Enumerated
- Jun 1, 2006
- Last Updated
- Feb 26, 2008
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