Individual
MR. BENJAMIN ERIK BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8TH AVE AND C ST, SALT LAKE CITY, UT 84143-0001
(801) 408-3729
Mailing address
LDS HOSPITAL BMT UNIT E 8TH AVE AND C STREET, SALT LAKE CITY, UT 84143-0001
(801) 408-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7753196-4405
UT
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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