Brian Ward Tease

NPI #1487413225 in Payson, Utah

Provider Information

NPI Number: 1487413225
Entity Type: Individual
Name: Brian Ward Tease
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Substance Abuse Rehabilitation Facility
Enumeration Date: Mar 14, 2024
Last Updated: Mar 14, 2024

Practice Location

Address: 984 S 930 W
City: Payson
State: Utah
ZIP Code: 84651-3126
Phone: (801) 465-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X	Primary

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