NPI 1043527138
Cameron Todd Banner
Practice location
- Address
- 862 S Main St STE 4, Brigham City, UT 84302-3389
- Phone
- (435) 723-1799
- Fax
- (435) 723-2521
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1043527138
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Sep 2010
- Record last updated
- 10 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.