Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROGAN R SECRIST
Active Sole ProprietorBROGAN R SECRIST is a Student (Health Education/Training) healthcare provider located in IVINS, Utah. NPI 1255083309 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · IVINS, UT
Registration Details
- NPI Number
- 1255083309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2022 (4.520187639846 yrs)
- Last Updated
- Jan 20, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
738 S RED MOUNTAIN BLVDIVINS, UT, 847381226Browse UT providers · Browse ZIP 84738
- Phone
- 4357051644
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in IVINS, UT
| Name | Credential | NPI |
|---|---|---|
| JAYSEN A HATCH | — | 1083319255 |
| KA WAI WU | — | 1275212987 |
| NICHOLAS SAIDI | — | 1467213546 |
| SHARON KE | — | 1811756679 |
| MAGED AYAD | DO | 1851102115 |
| ALEX OSBORNE FOSTER | — | 1124830583 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.