Individual
SCOTT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-8841
Mailing address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9407582-1206
UT
Other
Enumeration date
07/06/2015
Last updated
11/11/2021
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