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Individual

ETHAN BRECK HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
819 E MARKET PLACE DR, SPANISH FORK, UT 84660-1396
(385) 344-6800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 344-6800
(385) 344-6270

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13547791-1204
UT

Other

Enumeration date
03/20/2022
Last updated
11/11/2025
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