Individual
MR. BRADFORD D HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SLC, UT 84132
(801) 581-6393
(801) 587-6459
Mailing address
PO BOX 413034, SALT LAKE CITY, UT 84141-3034
(801) 213-3900
(801) 587-6459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164474-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
164474-1205
UT
Other
Enumeration date
10/25/2006
Last updated
04/30/2013
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