Individual
BRADEN MATTHEW BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 N 1900 E # 5R218, SALT LAKE CITY, UT 84132-0002
(801) 581-7822
Mailing address
993 S 200 E, LAYTON, UT 84041-4123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12064476-1206
UT
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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