Individual
DR. MICHAEL JAMES BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11820 S STATE ST, DRAPER, UT 84020-7133
(801) 568-0200
(801) 563-0200
Mailing address
11820 S STATE ST, DRAPER, UT 84020-7133
(801) 568-0200
(801) 563-0200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7630654-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2006
Last updated
03/27/2013
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