Individual
JOSEPH BRENT HAGLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, RDN
Contact information
Practice address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-2531
Mailing address
5169 S COTTONWOOD ST STE 320, MURRAY, UT 84107-6768
(801) 507-2531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
8733335-4901
UT
363AM0700X
Medical Physician Assistant
Primary
8733335-1206
UT
Other
Enumeration date
07/30/2013
Last updated
04/21/2020
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