NPI 1093149718

Michael Dennis Theurer

Practitioner Foster Care Agency Brigham City, UT

Practice location

Address: 862 S Main St Suite 4, Brigham City, UT 84302-3320
Phone: (435) 723-1799

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Registry record

NPI: 1093149718
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2013
Record last updated: 29 Aug 2013

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.