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Brenton Waters, PA-C
NPI 1619402732 · on the registry since 2017
Practice
- Address
- 565 Komas Drive
Salt Lake City, UT 84108 - Phone
- (801) 584-5144
- Fax
- (801) 584-5206
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah