Individual
MR. BRETT RONALD DILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4403 HARRISON BLVD, #2400, OGDEN, UT 84403-3271
(801) 387-2750
(801) 387-2755
Mailing address
4403 HARRISON BLVD, #2400, OGDEN, UT 84403-3271
(801) 387-2750
(801) 387-2755
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
07/24/2013
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