Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 6353555-1205 | UT |
Y | 2084N0402X | Child Neurologist | 6353555-1205 | UT |
NPI | 1154539112 |
---|---|
Provider Name | Dr. Brandon Anthony Zielinski |
First Address | Salt Lake City, UT 84141-3021 |
Second Address | Salt Lake City, UT 84113-1103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 20/12/2021 |