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Individual
DR. BRADFORD DOUGLASS SMITH
Active
Individual
DR. BRADFORD DOUGLASS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4977139-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503114
—
NV
01
—
107027622101
IHC
UT
05
—
119554900
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
49771391200001
BCBS
UT
01
—
70622
HEALTHY U
UT
01
—
77514
PEHP
UT
05
—
806852300
—
ID
01
—
850715
DESERET MUTUAL
UT
05
—
855398
—
AZ
01
—
870545614BDS
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA09322
MOLINA
UT
Enumeration date
08/18/2006
Last updated
10/15/2012
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