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Individual
BENJAMIN T. BRADLEY
Active
Individual
BENJAMIN T. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
12093950-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12093950-1205
UT
Other
Enumeration date
04/17/2017
Last updated
04/14/2022
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