Provider Demographics
NPI:1811346901
Name:BRIGGS, RODNEY (PA-C)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-7503
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:350 FALCON RIDGE PARKWAY
Practice Address - Street 2:STE 500
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027
Practice Address - Country:US
Practice Address - Phone:725-333-9026
Practice Address - Fax:725-333-9027
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2023-09-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA1757363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical