# JOSEPH BRENT HAGLOCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568894707
- **Gender:** Man
- **Credential:** PA-C, RDN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 8733335-4901 | UT | — |
| 363AM0700X | Medical Physician Assistant | 8733335-1206 | UT | Yes |

## Other

- **Enumeration date:** 07/30/2013
- **Last updated:** 04/21/2020