AUSTIN EDGAR BRANNON

WVC, UT
NPI1215402631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  11835547-1206)
Enumeration Date2018-10-11
Last Update Date2025-03-21
Business Address
AUSTIN EDGAR BRANNON
3451 S. 5600 W. SUITE F
WVC, UT 84020
Phone number: 801-957-0900
Mailing Address
AUSTIN EDGAR BRANNON
2580 S 300 E
SOUTH SALT LAKE, UT 84115-3241
Phone number: 801-243-1041