Kerry S Braunberger, AUD

NPI #1710985965 in Ogden, Utah

Provider Information

NPI Number: 1710985965
Entity Type: Individual
Name: Kerry S Braunberger, AUD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: AUD
Enumeration Date: Jul 12, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 3955 HARRISON BLVD
Address 2: SUITE U7
City: Ogden
State: Utah
ZIP Code: 84403-2313
Phone: (801) 399-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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