Individual
BROC B PARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
962 SAGE DR, CEDAR CITY, UT 84720-1885
(435) 865-3440
(435) 865-3472
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 865-3440
(435) 865-3472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11012864
IN
207Q00000X
Family Medicine Physician
Primary
7052055-1204
UT
Other
Enumeration date
04/10/2007
Last updated
09/21/2016
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