Seth Jonah Brazier
Podiatrist Foot & Ankle Surgery
1973 N State St
Provo
, Utah 84604-1012
Seth Jonah Brazier
Podiatrist Foot & Ankle Surgery
1973 N State St
Provo
, Utah 84604-1012
(801) 505-0803
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Seth Jonah Brazier
- 2561 S 1560 W Ste B
- Woods Cross, UT
- Zip : 84087-2361
- Fax : (801) 505-0803
- Phone : (801) 505-0821
Second Address
- Seth Jonah Brazier
- 1973 N State St
- Provo, UT
- Zip : 84604-1012
- Fax : (801) 373-5200
- Phone : (801) 373-2499
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Is Seth Jonah Brazier a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | E5251 | CA |
| N | 222Z00000X | Podiatrist | E5251 | CA |
| Y | 213ES0103X | Foot & Ankle Surgery | 11866363-0501 | UT |
National Provider Identifier
| NPI | 1033554324 |
|---|---|
| Provider Name | Seth Jonah Brazier |
| First Address | Woods Cross, UT 84087-2361 |
| Second Address | Provo, UT 84604-1012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2013 |
| Last Update Date | 03/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11866363-0501 | LICENSE (01) | UT |
| CA187730 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.