NPI Profile for BRYAN B HOFHEINS in PROVO, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Adolescent Medicine |
2080A0000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1326147034 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 09/21/2006 | |
| Last updated | 07/08/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRYAN B HOFHEINS
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