BRENTON WATERS

SALT LAKE CITY, UT
NPI1619402732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-04-26
Last Update Date2019-02-14
Business Address
BRENTON WATERS PA-C
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Phone number: 801-584-5144
Mailing Address
BRENTON WATERS PA-C
565 KOMAS DRIVE
SALT LAKE CITY, UT 84108
Phone number: 801-584-5144