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MR. BRADFORD NICHOLAS ENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01078811A
IN
207L00000X
Anesthesiology Physician
84697-20
WI
207L00000X
Anesthesiology Physician
Primary
9188963-1205
UT

Other

Enumeration date
06/21/2013
Last updated
10/08/2024
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