Individual
MR. BRADY MARK WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13825 S REDWOOD RD, BLUFFDALE, UT 84065-5222
(801) 254-9700
Mailing address
13825 S REDWOOD RD, BLUFFDALE, UT 84065-5222
(801) 254-9700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9270329-1206
UT
Other
Enumeration date
03/13/2015
Last updated
10/17/2022
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