Individual
BRAD V RASMUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
324 10TH AVE STE 104, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-3609
(801) 507-3625
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1667321205
UT
Other
Enumeration date
07/28/2006
Last updated
08/19/2015
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