Individual
MR. G BRYANT SALMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2121 N 1700 W, LAYTON, UT 84041
(801) 773-4840
Mailing address
2883 CHIPPEWA WAY, PROVO, UT 84604
(801) 615-9445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8227253-1206
UT
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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