Individual
BRADLEY EUGENE SCHLEENBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1388 S NAVAJO ST, SUITE C, SALT LAKE CITY, UT 84104-3493
(801) 955-2360
(877) 497-4661
Mailing address
220 W 7200 S, SUITE A, MIDVALE, UT 84047-1043
(801) 858-3461
(801) 955-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9195407-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/15/2013
Last updated
11/18/2021
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