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Individual

BRADY CHARLES NORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1055 N 500 W, PROVO, UT 84604-3305
(801) 318-2113
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(801) 318-2113

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
UT

Other

Enumeration date
06/28/2012
Last updated
11/26/2012
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