BRANDON SHAWN MICKELSON

DRAPER, UT
NPI1790544534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-03-14
Last Update Date2024-05-09
Business Address
BRANDON SHAWN MICKELSON PA-C
11760 S 700 E STE 112
DRAPER, UT 84020-6605
Phone number: 801-882-9995
Mailing Address
BRANDON SHAWN MICKELSON PA-C
280 S MAIN ST
BOUNTIFUL, UT 84010-6236
Phone number: 801-505-0821
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