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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROCK HASKELL

Active Sole Proprietor

BROCK HASKELL is a Physician Assistant healthcare provider located in DRAPER, Utah. NPI 1821627746 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DRAPER, UT

Registration Details

NPI Number
1821627746
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2020 (6.3651944834352 yrs)
Last Updated
Jan 23, 2023
Licenses
57989 (CA)
11856179-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
11620 S STATE ST STE 1403
DRAPER, UT, 840207124
Browse UT providers · Browse ZIP 84020
Phone
3853027369
Fax
3852478023
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in DRAPER, UT

Name Credential NPI
VANESSA EILEEN BEARD-ELY PA 1730140484
MR. PATRICK BARNES P.A. 1447329164
SCOTT BRUDERER PA 1003988205
JENNIFER HOLT JOHNSON PA-C 1225288376
LAURA KATHERINE COOK PA-C 1841577681
KRISTEN DANIELLE CARRIER PA-C 1861764268
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.