Anderson, Bradley Wayne
Anderson, Bradley Wayne is an individual health care provider with primary practice located at 1355 N University Ave #210, Provo UT 84604-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Bradley Wayne can be contacted via phone (801) 373-8930.Contact Information
Primary practice address
1355 N University Ave #210
Provo UT 84604-2721
Phone: (801) 373-8930
Fax: (801) 377-6811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5579883-1205 | Utah |
Profile Details
| NPI number | 1124086186 |
|---|---|
| LBN Legal business name | Anderson, Bradley Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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