Individual
BRAD STEVEN NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
(801) 432-2668
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
(801) 432-2668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8140981-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2010
Last updated
10/27/2014
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