Individual
BRENNON FLANNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3860 JACKSON AVE STE 2, OGDEN, UT 84403-1979
(801) 627-0515
(801) 627-0517
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14084913-1206
UT
Other
Enumeration date
11/23/2021
Last updated
09/20/2024
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