Brett Ronald Dille, PA-C
Physician Assistant, Surgical in Ogden, UT. Individual provider (NPI-1).
NPI number1407296809
StatusActive
Last updated in NPPESJul 24, 2013
Details
- NPI
- 1407296809
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brett Ronald Dille
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2013
- Last updated
- Jul 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
4403 Harrison Blvd#2400
Ogden, UT 84403-3271
Phone 801-387-2750 · Fax 801-387-2755
Mailing address
4403 Harrison Blvd#2400
Ogden, UT 84403-3271
Phone 801-387-2750 · Fax 801-387-2755
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