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Individual
DR. STEPHEN K BRADLEY
Active
Individual
DR. STEPHEN K BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
172488-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002086464
—
NV
05
—
103500200
—
WY
01
—
107006512102
IHC
UT
01
—
1502954
UMWA
UT
01
—
17839
DESERET MUTUAL
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
44140
HEALTHY U
UT
01
—
73544
PEHP
UT
05
—
806727300
—
ID
05
—
820771
—
AZ
01
—
870545614SB3
EDUCATORS MUTUAL
UT
01
—
PRA07396
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/03/2006
Last updated
04/21/2021
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