Individual
DR. BRADLEY ALAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
(801) 456-0350
(801) 456-0351
Mailing address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
(801) 456-0350
(801) 456-0350
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8536046-1202
UT
111NR0400X
Rehabilitation Chiropractor
8536046-1202
UT
111NS0005X
Sports Physician Chiropractor
8536046-1202
UT
111NX0100X
Occupational Health Chiropractor
8536046-1202
UT
Other
Enumeration date
01/15/2013
Last updated
01/23/2018
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