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Individual

DR. RULON RALPH BRADLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
166 E 5900 S, SUITE B-111, SALT LAKE CITY, UT 84107-7257
(801) 268-9672
(801) 266-9390
Mailing address
4659 STILLWOOD CIR, SALT LAKE CITY, UT 84117-8055
(801) 278-5902

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
1620901205
UT
207NS0135X
Procedural Dermatology Physician
Primary
1620908905
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0300062
AARP/UNITED HEALTH CARE
UT
01
0391841
UNITED HEALTH CARE/AM
UT
01
1181
PUBLIC EMPLOYEES HEALTH
UT
01
123482
ALTIUS SUMMIT CARE
UT
01
1424448
FIRST HEALTH
UT
01
4116634
AETNA
UT
Enumeration date
06/01/2006
Last updated
09/11/2025
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