Individual
DR. JOSHUA BRIAN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 310, BOUNTIFUL, UT 84010-7671
(801) 295-5581
(801) 295-9253
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3494
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
117035791205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619362779
—
UT
Enumeration date
04/05/2015
Last updated
08/05/2020
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