Individual
BRAD HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1157 N 300 W STE 201, PROVO, UT 84604-6124
(801) 357-1200
(801) 357-1239
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
27063
NE
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
27063
NE
207XS0106X
Orthopaedic Hand Surgery Physician
6462816-1205
UT
Other
Enumeration date
03/03/2011
Last updated
03/10/2023
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