Healthcare Provider Details

I. General information

NPI: 1043963382
Provider Name (Legal Business Name): RYAN C BRIGGS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 N MAIN ST
KANAB UT
84741-3260
US

IV. Provider business mailing address

1117 S TERREL DR
KANAB UT
84741-3560
US

V. Phone/Fax

Practice location:
  • Phone: 435-644-5811
  • Fax:
Mailing address:
  • Phone: 435-703-4717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number14263285-1204
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: