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Individual

DR. BRADLEY A DREIFUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 NORTH 1900 EAST 1C026, UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE, SALT LAKE CITY, UT 84132
(503) 502-0775
Mailing address
30 NORTH 1900 EAST 1C026, UNIVERSITY OF UTAH DIVISION OF EMERGENCY MEDICINE, SALT LAKE CITY, UT 84132
(503) 502-0775

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
76839741205
UT
207P00000X
Emergency Medicine Physician
8555A
WY
207P00000X
Emergency Medicine Physician
TP827
KY

Other

Enumeration date
07/03/2007
Last updated
07/07/2011
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