Individual
BROCK ANTHONY HIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2132 N 1700 W, STE 110, LAYTON, UT 84041-7059
(801) 779-3500
(801) 779-3508
Mailing address
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115-5096
(801) 288-2634
(801) 288-1186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9629878-4405
UT
363L00000X
Nurse Practitioner
Primary
9629878-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487305868
—
UT
Enumeration date
01/17/2022
Last updated
05/02/2024
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