Individual
BRIENNA BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-5357
(801) 581-7553
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-5357
(801) 581-7553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9514275-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
11/07/2022
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