Individual
BRADFORD JASON STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3160
(801) 475-3161
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 397-6100
(801) 397-6101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9294521-1205
UT
Other
Enumeration date
07/01/2010
Last updated
07/21/2022
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