AUSTIN EDGAR BRANNON

SOUTH SALT LAKE, UT
NPI1215402631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  11835547-1206)
Enumeration Date2018-10-11
Last Update Date2022-06-29
Business Address
AUSTIN EDGAR BRANNON
2580 S 300 E
SOUTH SALT LAKE, UT 84115-3241
Phone number: 801-243-1041
Mailing Address
AUSTIN EDGAR BRANNON
2580 S 300 E
SOUTH SALT LAKE, UT 84115-3241
Phone number: 801-243-1041
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