Individual
DR. BRADLEY DRYDEN ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1424 E FOREMASTER DR STE 120, ST GEORGE, UT 84790-5844
(435) 656-8800
(435) 627-1809
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
328393-1204
UT
Other
Enumeration date
10/31/2005
Last updated
06/14/2017
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