Individual
DR. BRADFORD DOUGLASS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8TH AVENUE AND C STREET, LDS HOSPITAL, SALT LAKE CITY, UT 84143
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4977139-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503114
—
NV
01
—
107027622101
IHC
UT
05
—
119554900
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
49771391200001
BCBS
UT
01
—
70622
HEALTHY U
UT
01
—
77514
PEHP
UT
05
—
806852300
—
ID
01
—
850715
DESERET MUTUAL
UT
05
—
855398
—
AZ
01
—
870545614BDS
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA09322
MOLINA
UT
Enumeration date
08/18/2006
Last updated
10/15/2012
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