Individual
DAVID JOSHUA BROCKBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.-C
Contact information
Practice address
3451 S. 5600 W., SUITE F, WVC, UT 84020
(801) 957-0900
(801) 966-4984
Mailing address
10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 84095-8502
(801) 260-1919
(801) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7034673-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
7034673-4405
UT
Other
Enumeration date
12/07/2012
Last updated
03/21/2025
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