Individual provider · Type 1 NPI

Brandon Shawn Mickelson, PA-C

Physician Assistant · Draper, UT

NPI number 1790544534 Active

Practice location

11760 S 700 E Ste 112
Draper, UT 84020-6605

Fax (801) 882-9994

Mailing address

280 S Main St
Bountiful, UT 84010-6236

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790544534

Brandon Shawn Mickelson, PA-C's National Provider Identifier is 1790544534, issued on Mar 14, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Draper, UT. The record was last updated on May 9, 2024.