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Individual
DR. BRADLEY ALAN ANDERSON
Active
Individual
DR. BRADLEY ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8536046-1202
UT
111NR0400X
Rehabilitation Chiropractor
8536046-1202
UT
111NS0005X
Sports Physician Chiropractor
8536046-1202
UT
111NX0100X
Occupational Health Chiropractor
8536046-1202
UT
Other
Enumeration date
01/15/2013
Last updated
01/23/2018
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