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Contact Information

BRADLEY HAUCK
321 N MALL DR.
BLDG I SUITE 202
SAINT GEORGE, UT84790
 Phone: 435-619-2385
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRADLEY HAUCK · (Male)

NPI Number 1750955837
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2021
Last updated 06/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 9656077-1206
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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