Individual
DR. BRADY CADE BLACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
95 EAST CENTER STREET, GUNNISON, UT 84634
(435) 528-7227
(435) 528-2175
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3321
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8334270-1204
UT
207Q00000X
Family Medicine Physician
MR-1062
ID
Other
Enumeration date
06/23/2009
Last updated
11/27/2023
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