Bradley, Rulon Ralph
Bradley, Rulon Ralph is an individual health care provider with primary practice located at 166 E 5900 S Suite B-111, Salt Lake City UT 84107-7257. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bradley, Rulon Ralph can be contacted via phone (801) 268-9672.Contact Information
Primary practice address
166 E 5900 S Suite B-111
Salt Lake City UT 84107-7257
Phone: (801) 268-9672
Fax: (801) 266-9390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1620901205 | Utah |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 1620908905 | Utah |
Profile Details
| NPI number | 1386681005 |
|---|---|
| LBN Legal business name | Bradley, Rulon Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386681005 | NPPES |
| Utah | Other | 0391841 | UNITED HEALTH CARE/AM |
| Utah | Other | 0391841 | UNITED HEALTH CARE/AM |
| Utah | Other | 1424448 | UNITED HEALTH CARE/AM |
| Utah | Other | 0300062 | UNITED HEALTH CARE/AM |
| Utah | Other | 0300062 | UNITED HEALTH CARE/AM |
| Utah | Other | 1181 | UNITED HEALTH CARE/AM |
| Utah | Other | 0300062 | UNITED HEALTH CARE/AM |
| Utah | Other | 4116634 | UNITED HEALTH CARE/AM |
| Utah | Other | 0300062 | UNITED HEALTH CARE/AM |
| Utah | Other | 123482 | UNITED HEALTH CARE/AM |
| Utah | Other | 123482 | UNITED HEALTH CARE/AM |
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