Bryan David Whetton, PA-C
Physician Assistant in Tremonton, UT. Individual provider (NPI-1).
NPI number1972932986
StatusActive
Last updated in NPPESOct 18, 2024
Details
- NPI
- 1972932986
- Entity type
- Individual (NPI-1)
- Name
- Bryan David Whetton
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2013
- Certification date
- Oct 18, 2024
- Last updated
- Oct 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5808460-1206 | UT | Yes |
| 363A00000X | Physician Assistant | PA.60423331 | WA |
Practice location
905 N 1000 WTremonton, UT 84337-9356
Phone 435-207-4500
Mailing address
Po Box 30180Salt Lake City, UT 84130-0180
Other practice locations
783 Commerce Ave
Longview, WA 98632-2450
Longview, WA 98632-2450
Phone 360-577-2630
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Other Physician Assistant providers in Tremonton, UT
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All 6 Physician Assistant providers in Tremonton · All 162 providers in Tremonton
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