Individual
BRADLEY CRIS COWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(919) 330-6519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9434743-1204
UT
207Q00000X
Family Medicine Physician
DO-R-8166
IA
Other
Enumeration date
06/14/2007
Last updated
11/14/2016
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