Individual
CHRISTOPHER ANDREW BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
1230 FARM LANE CIR, OREM, UT 84057-2796
(801) 647-2473
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
215353129
UT
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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