Individual
BRADLEY JAY SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
4206 W TAHOE WAY, SOUTH JORDAN, UT 84095-7747
(801) 372-9979
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
8348113-5401
UT
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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