Brklacich, Braden Russ

Brklacich, Braden Russ is an individual health care provider with primary practice located at 12523 S Creek Meadow Rd Ste 105 , Riverton UT 84065-7299. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Brklacich, Braden Russ can be contacted via phone (801) 253-6886.

Contact Information

Primary practice address
12523 S Creek Meadow Rd Ste 105 Riverton UT 84065-7299
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 10861469-0501 Utah

Profile Details

NPI number 1609397207
LBN Legal business name Brklacich, Braden Russ
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Feb 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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