ETHAN BRECK HALL

SPANISH FORK, UT
NPI1538818448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  13547791-1204)
Enumeration Date2022-03-20
Last Update Date2025-11-11
Business Address
ETHAN BRECK HALL DO
819 E MARKET PLACE DR
SPANISH FORK, UT 84660-1396
Phone number: 385-344-6800
Mailing Address
ETHAN BRECK HALL DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 385-344-6800