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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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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