Individual
BRUCE F GLADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
755 E 3900 S, SALT LAKE CITY, UT 84107-2105
(801) 266-2283
(801) 268-6151
Mailing address
4951 CHARLEEN CIR, OGDEN, UT 84403-4413
(801) 475-6601
(801) 268-6151
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1977064406
UT
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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