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Individual

DR. BRADLEY DOUGLAS SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
2832 S WEST TEMPLE UNIT 8, S SALT LAKE, UT 84115-3504
(662) 715-9183

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/10/2020
Last updated
07/09/2020
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