NPIRadar

Brent D. Mains Valid NPI

Individual provider · Physician Assistant · Alpine, UT

NPI
1750079547
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
14277457-1206 (UT)
Sex
Male
Sole proprietor
Yes
Enumerated
2023-04-28
Last updated
2026-03-25
Practice location
833 E Coventry Ln
Alpine, UT 84004-1240
(385) 447-7929

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