Organization
DAVID C BRADSHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIS C BRADSHAW MD (PRESIDENT)
(435) 613-2229
Entity
Organization
Contact information
Practice address
280 N HOSPITAL DR, STE 4, PRICE, UT 84501-4216
(435) 613-2229
(435) 613-2230
Mailing address
280 N HOSPITAL DR, STE 4, PRICE, UT 84501-4216
(435) 613-2229
(435) 613-2230
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
80664271205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08291969
OWNERS DOB
—
Enumeration date
10/17/2011
Last updated
10/17/2011
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