Individual
BRAD HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132
(801) 793-9748
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9560103-1205
UT
Other
Enumeration date
07/07/2014
Last updated
06/15/2018
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