Individual
BRADLEY J. WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E STE 105, SALT LAKE CITY, UT 84102-1593
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
46318
WI
208800000X
Urology Physician
Primary
6602968-1205
UT
Other
Enumeration date
06/14/2006
Last updated
10/02/2024
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