Individual
MRS. BREONY STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74 E KIMBALLS LN STE 260, DRAPER, UT 84020-5009
(801) 895-3146
(801) 850-6611
Mailing address
520 MEDICAL DR STE 300, BOUNTIFUL, UT 84010-8925
(801) 292-1422
(801) 296-0436
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
70914401206
UT
Other
Enumeration date
09/08/2008
Last updated
04/07/2025
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