Individual
DR. BRADLEY GLEN CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1275 RED MOUNTAIN CIR, IVINS, UT 84738-6178
(435) 668-2732
Mailing address
2571 E 10 N, ST GEORGE, UT 84790-2535
(435) 668-2732
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
363699-1202
UT
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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