Brock Haskell

Physician Assistant · Draper, UT

Individual Active NPI

NPI number 1821627746

Practice location

11620 S State St Ste 1403
Draper, UT 84020-7124
Phone
(385) 302-7369
Fax
(385) 247-8023

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NPI record

NPI
1821627746
Entity type
Individual (Type 1)
Enumeration date
April 2, 2020
Last updated
January 23, 2023
Certified
January 23, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 11856179-1206 UT
Physician Assistant 363A00000X 57989 CA

Other practice locations (1)

  • 2356 N 400 E Ste 201, Tooele, UT 84074-3409 · (435) 882-2350

About Brock Haskell

Brock Haskell is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 11620 S State St Ste 1403, Draper, UT 84020-7124. The NPI number 1821627746 was assigned on April 2, 2020 and the record was last updated on January 23, 2023.

Brock Haskell lists 2 licenses in the registry: #11856179-1206 (UT) for Physician Assistant; #57989 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brock Haskell?

The NPI number is 1821627746.

What is the phone number of Brock Haskell?

The phone number listed for the practice location is (385) 302-7369.

Where is Brock Haskell located?

11620 S State St Ste 1403, Draper, UT 84020-7124.

What is the taxonomy code for Brock Haskell?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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