Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN JACOB SUDBERRY
ActiveBRENDAN JACOB SUDBERRY is a 1744G0900X healthcare provider located in SALT LAKE CITY, Utah. NPI 1417529678 is currently active in the NPPES registry. Verify at CMS.
1744G0900X · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1417529678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2021 (4.8989122133947 yrs)
- Last Updated
- Jul 15, 2021
Practice Information
- Address
-
344 E 100 S STE 301SALT LAKE CITY, UT, 841111727Browse UT providers · Browse ZIP 84111
- Phone
- 8014284257
- Primary Specialty
-
1744G0900X
1744G0900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.