Individual
BRYAN HAINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2850 N 2000 W # 203, FARR WEST, UT 84404-9219
(801) 689-3389
(801) 689-2320
Mailing address
2850 N 2000 W # 203, FARR WEST, UT 84404-9219
(801) 689-3389
(801) 689-2320
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
6801881-1206
UT
363AM0700X
Medical Physician Assistant
6801881-1206
UT
Other
Enumeration date
12/01/2012
Last updated
05/16/2019
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