Individual
BRADLEY CURTIS BYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 E 1400 N, LOGAN, UT 84341
(435) 716-1000
Mailing address
500 E 1400 N, LOGAN, UT 84341
(435) 716-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10098970-1206
UT
363AS0400X
Surgical Physician Assistant
10098970-1206
UT
Other
Enumeration date
10/14/2016
Last updated
01/31/2019
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