Individual
BRITTANY K HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1680 W REUNION AVE STE 5A, SOUTH JORDAN, UT 84095-4620
(385) 361-3001
Mailing address
11092 S OLD BRIDGE RD, SOUTH JORDAN, UT 84009-1617
(208) 680-7947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14029242-1206
UT
363AM0700X
Medical Physician Assistant
14029242-1206
UT
Other
Enumeration date
08/16/2023
Last updated
01/27/2025
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