person
Brandon Shawn Mickelson, PA-C
Student in an Organized Health Care Education/Training Program in Draper, Utah
NPI 1790544534

Brandon Shawn Mickelson is a Student in an Organized Health Care Education/Training Program based in Henrico, UT. Brandon Shawn Mickelson practices in Draper, UT and has the professional credentials of PA-C. The NPI Number for Brandon Shawn Mickelson is 1790544534 and holds a License No. (Utah).

The current practice location address for Brandon Shawn Mickelson is 11760 S 700 E Ste 112, Draper, UT and can be reached out via phone at 801-882-9995 and via fax at 801-882-9994.

Location: 11760 S 700 E Ste 112, Draper, UT, 23294-5235
person
Provider Profile Details
NPI Number
1790544534
Provider Name
Brandon Shawn Mickelson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11760 S 700 E Ste 112, Draper, UT, 23294-5235
Phone Number
801-882-9995
Fax Number
801-882-9994
Provider Enumeration Date
03/14/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11760 S 700 E Ste 112
City
State
Zip
84020-6605
Phone Number
801-882-9995
Fax Number
801-882-9994
person
Provider Business Mailing Address Details
Address
11760 S 700 E Ste 112
City
State
Zip
84020-6605
Phone Number
801-882-9995
Fax Number
801-882-9994
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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