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NPI Code Detail

MEDICARE: DR. BRANDON ROBERT HILL MD

MEDICARE: DR. BRANDON ROBERT HILL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10022131TX
2390200000XStudent in an Organized Health Care Education/Training Program7963276-1205UT
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianP6975TX

General Provider Information

NPI Number : 1376754879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON ROBERT HILL MD
Provider Business Mailing Address
First Line : 1475 E BLAINE AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-3732
Country : US
Telephone Number : 214-549-7937
Fax Number :
Provider Business Practice Location Address
First Line : 8230 WALNUT HILL LN STE 208
Second Line :
City : DALLAS
State : TX
Zip : 75231-4409
Country : US
Telephone Number : 214-692-6135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 09/30/2013

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