Individual
BRADLEY R MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4403 HARRISON BLVD STE 1875, OGDEN, UT 84403-3325
(801) 732-5900
(801) 732-5989
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
176580-1205
UT
Other
Enumeration date
08/11/2006
Last updated
09/09/2019
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