Brock Haskell

NPI #1821627746 in Draper, Utah

Provider Information

NPI Number: 1821627746
Entity Type: Individual
Name: Brock Haskell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Apr 2, 2020
Last Updated: Jan 23, 2023

Practice Location

Address: 11620 S STATE ST STE 1403
City: Draper
State: Utah
ZIP Code: 84020-7124
Phone: (385) 302-7369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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