Individual
BRADEN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3903 MEDICAL DR STE 200, OGDEN, UT 84403-2318
(801) 387-5300
(801) 387-5333
Mailing address
3903 MEDICAL DR STE 200, OGDEN, UT 84403-2318
(801) 387-5300
(801) 387-5333
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
246RH0600X
Histology Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802003707
SELECT HEALTH
UT
Enumeration date
03/31/2021
Last updated
03/31/2026
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