BREANNA BLACK

PA-C specializing in physician assistant in Provo, Utah

NPI: 1346972502

Provider Type

1

Practice Locations

Mailing Location

1055 N 500 W

ATTN CREDENTIALING

PROVO, UT 84604

📞 8013548225

📠 8014180941

Practice Location

1055 N 500 W BLDG A

PROVO, UT 84604

📞 8018125033

📠 8014180941

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:6/27/2022
Last Updated:10/3/2023

Credentials

Primary Credential:PA-C