NPI 1295919728 · live from the CMS NPI Registry
Brian W Fukushima MD PC
Orthopaedic Surgery, Sports Medicine in Murray, UT. National Provider Identifier 1295919728, active.
NPI record
| NPI | 1295919728 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 |
| Practice phone | 801-747-1020 |
| Enumerated | December 19, 2007 |
| Last updated | March 4, 2011 |
| Authorized official | Katie Benard, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 5280409-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.