Brandon Wilde is a student in an organized health care education training program in Salt Lake City, UT. The provider is 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. Brandon Wilde NPI is 1871223099. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-001
Phone: (801) 581-2121
The enumeration date for this NPI number is 6/11/2022 and was last updated on 6/11/2022.