Individual
AUSTIN EDGAR BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3451 S. 5600 W., SUITE F, WVC, UT 84020
(801) 957-0900
(801) 966-4984
Mailing address
2580 S 300 E, SOUTH SALT LAKE, UT 84115-3241
(801) 243-1041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11835547-1206
UT
Other
Enumeration date
10/11/2018
Last updated
03/21/2025
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