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