Individual
BRADLEY J MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 C ST, SALT LAKE CITY, UT 84143-1005
(801) 408-2292
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-2292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3099501206
UT
Other
Enumeration date
09/02/2006
Last updated
10/16/2007
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