STACI BRANDENBURG, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1487279626
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 12602904-8906 (UT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant - Medical | 363AM0700X | Yes | 12602904-8906 (UT) |
Frequently Asked Questions
NPI 1487279626 is the National Provider Identifier for STACI BRANDENBURG, PA-C, a Physician Assistant - Medical provider located in West Valley City, UT. This NPI was enumerated on June 13, 2020.
STACI BRANDENBURG, PA-C practices at 2965 W 3500 S, West Valley City, UT 84119.
Quick Facts
- NPI
- 1487279626
- Type
- Individual
- Enumerated
- Jun 13, 2020
- Last Updated
- Oct 14, 2024
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