Individual
BRADLEY JOSEPH MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
386 WEST 100 SOUTH, ENTERPRISE, UT 84725
(801) 787-6316
Mailing address
PO BOX 428, ENTERPRISE, UT 84725-0428
(801) 787-6316
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
181015
UT
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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