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Individual
DALTON K. BRADY
Active
Individual
DALTON K. BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
7491686-1205
UT
208100000X
Physical Medicine & Rehabilitation Physician
7491686-1205
UT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7491686-1205
UT
2083S0010X
Sports Medicine (Preventive Medicine) Physician
7491686-1205
UT
208VP0014X
Interventional Pain Medicine Physician
7491686-1205
UT
Other
Enumeration date
03/28/2021
Last updated
07/22/2026
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