Individual
PAULA STOCKMAN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1244 N MAIN ST, STE 201, TOOELE, UT 84074
(435) 882-3968
(801) 269-9005
Mailing address
1244 N MAIN ST, STE 201, TOOELE, UT 84047
(801) 262-3441
(801) 269-9005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
67222221206
UT
Other
Enumeration date
05/19/2008
Last updated
10/28/2021
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