Individual
BROC D ASTILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
75 N 2260 W, HURRICANE, UT 84737-2034
(435) 635-6550
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 635-6550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13532327-1204
UT
Other
Enumeration date
04/13/2020
Last updated
10/03/2023
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