Provider Demographics
NPI:1265718878
Name:ROPER, BRIGHTON HOFFMAN (L AC)
Entity type:Individual
Prefix:MRS
First Name:BRIGHTON
Middle Name:HOFFMAN
Last Name:ROPER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 W 700 S
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2763
Mailing Address - Country:US
Mailing Address - Phone:801-359-4780
Mailing Address - Fax:801-359-2551
Practice Address - Street 1:177 W 700 S
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84101-2763
Practice Address - Country:US
Practice Address - Phone:801-359-4780
Practice Address - Fax:801-359-2551
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7484230-1201171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist