BRENT PICKETT

LOGAN, UT
NPI1497281406
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: UT  12423819-1204)
Enumeration Date2017-05-11
Last Update Date2022-02-17
Business Address
Dr. BRENT PICKETT
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-716-2800
Mailing Address
Dr. BRENT PICKETT
260 N 750 E
VINEYARD, UT 84058-5816
Phone number: 435-760-1679