Individual
DR. TYSON G BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
940 W 150 N, LAYTON, UT 84041-5256
(801) 592-4115
Mailing address
233 N 200 W, BLANDING, UT 84511-3634
(801) 592-4115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7116693-1202
UT
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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