Individual
BRADEIGH SMITHSON GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
258 HERITAGE CTR, SALT LAKE CITY, UT 84112-2004
(801) 587-1290
Mailing address
258 HERITAGE CTR, SALT LAKE CITY, UT 84112-2004
(801) 587-1290
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6851437-1204
UT
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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