Individual
DR. BRENT PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-2800
Mailing address
260 N 750 E, VINEYARD, UT 84058-5816
(435) 760-1679
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
12423819-1204
UT
Other
Enumeration date
05/11/2017
Last updated
02/17/2022
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