Individual
BRADY CARLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(509) 217-0698
Mailing address
11526 S HIGH MOUNTAIN DR, SANDY, UT 84092-5659
(509) 217-0698
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5149223-4406
UT
Other
Enumeration date
01/04/2017
Last updated
01/05/2017
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