Molly Brotherson, PA

NPI #1578598132 in Provo, Utah

Provider Information

NPI Number: 1578598132
Entity Type: Individual
Name: Molly Brotherson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 12, 2006
Last Updated: Nov 27, 2023

Practice Location

Address: 1055 N 500 W
Address 2: SUITE 222
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 377-4623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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