Individual
MR. BRADLEY D. RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3584 W 9000 S STE 305, WEST JORDAN, UT 84088-4775
(801) 992-1233
(385) 301-5544
Mailing address
3584 W 9000 S STE 305, WEST JORDAN, UT 84088-4775
(801) 992-1233
(385) 301-5544
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4827
AZ
363A00000X
Physician Assistant
Primary
5000567-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614642
—
AZ
Enumeration date
08/15/2008
Last updated
10/02/2024
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