Individual
DR. BRADLEY STEPHEN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1434 E 4500 S STE 102, HOLLADAY, UT 84117-4252
(801) 273-5632
Mailing address
1434 E 4500 S STE 102, HOLLADAY, UT 84117-4252
(801) 273-5632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7030084-9922
UT
1223P0221X
Pediatric Dentistry
Primary
7030084-9922
UT
Other
Enumeration date
08/01/2008
Last updated
09/21/2018
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