| Doctor Name: | MR. BRAND PAXTON REYNOLDS |
| NPI Number: | 1154325991 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | 271062-4405 |
| Business Practice Address: | 491 North Main Street Tooele, UT - 840742785 |
| Business Phone Number: | 4358438881 |
| Business Fax Number: | 4358438802 |
| Mailing Address: | Po Box 922, TOOELE |
| State: | UT |
| Postal Code: | 840740922 |
| Phone Number: | 4358339108 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 09/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 271062-4405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |