Individual
BRAD TOMLINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3701
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 625-3701
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
365908-3503
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043243140
—
UT
Enumeration date
08/06/2015
Last updated
08/06/2015
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