Individual
BRIAN S VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3300
(801) 475-3301
Mailing address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3000
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4996404-1206
UT
Other
Enumeration date
10/21/2008
Last updated
07/05/2016
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