Individual
JOSHUA DAVID BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102-2310
(385) 282-2000
(385) 282-2001
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 656-9690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
6546952-1205
UT
Other
Enumeration date
05/22/2007
Last updated
05/09/2016
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