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Individual

BRADLEY M WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5360 S 2700 W, TAYLORSVILLE, UT 84129-1524
(801) 996-9761
(802) 996-9762
Mailing address
PO BOX 198560, ATLANTA, GA 30384-8560

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11647062-1204
UT

Other

Enumeration date
03/23/2017
Last updated
04/09/2026
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