Dr Jack L Brauer, DDS | |
450 Bern Way, Midway, UT 84049 | |
(619) 840-7080 | |
Not Available |
Full Name | Dr Jack L Brauer |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 450 Bern Way, Midway, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407187362 | NPI | - | NPPES |
1407187362 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 47988549921 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 | Dr Jack L Brauer, DDS 450 Bern Way, Midway, UT 84049 Ph: (619) 840-7080 |
Spencer N Diehl, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 | |
Dr. David M Prince, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 210 E Main St Ste 201, Midway, UT 84049 Phone: 435-654-2822 Fax: 435-654-3949 |