AUSTIN EDGAR BRANNON
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1215402631- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3723 W 12600 S STE 150, RIVERTON, UT, 840657296
- Phone
- (801) 285-4560
Specialties & Taxonomies
Physician Assistant
Primary License: UT #11835547-1206