Individual provider · Type 1 NPI

Brogan R. Secrist

Student in an Organized Health Care Education/Training Program · Ivins, UT

NPI number 1255083309 Active

Practice location

738 S Red Mountain Blvd
Ivins, UT 84738-1226

Call (435) 705-1644 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255083309

Brogan R. Secrist's National Provider Identifier is 1255083309, issued on Jan 20, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ivins, UT. The record was last updated on Jan 20, 2022.