BRADY JOHN TUCKER

LAYTON, UT
NPI1174884290
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8612587-1206)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: UT  8612587-1206)
363A00000X Physician Assistant
(Licence: ID  PA-981)
Enumeration Date2012-06-05
Last Update Date2020-02-13
Business Address
Mr. BRADY JOHN TUCKER PA-C
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
Mailing Address
Mr. BRADY JOHN TUCKER PA-C
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840