Dr KARL LEE BREITENBACH is a male medical professional, specializing in Family Medicine. He graduated in 1984 from University Of Missouri, Kansas City, School Of Medicine.
281 E 200
ROOSEVELT
UT
840662343
Tel:
| Npi | 1457447906 |
| Pac Id | 8224168224 |
| Professional Enrollment Id | I20100618000261 |
| Last Name | BREITENBACH |
| First Name | KARL |
| Middle Name | LEE |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OBSTETRICS/GYNECOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 281 E 200 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ROOSEVELT |
| State | UT |
| Zip Code | 840662343 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 460019 |
| Hospital Affiliation Lbn 1 | UINTAH BASIN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460030 |
| Hospital Affiliation Lbn 2 | ASHLEY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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