Individual
REGAN K. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4252 HIGHLAND DR., #200, SLC, UT 84124
(801) 993-1800
(801) 993-1699
Mailing address
4252 HIGHLAND DR., #200, SLC, UT 84124
(801) 993-1800
(801) 993-1699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57160471206
UT
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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