R Ralph Bradley M D Pc

LBN: R Ralph Bradley M D Pc
R Ralph Bradley M D Pc is an health care organization with primary practice located at 166 E 5900 S B-111, Murray UT 84107-7257. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. R Ralph Bradley M D Pc can be contacted via phone (801) 268-9672, or through Bradley, Ralph via phone (801) 268-9672.

Contact Information

Primary practice address
166 E 5900 S B-111 Murray UT 84107-7257
Phone: (801) 268-9672
Fax: (801) 266-9390
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Ralph Doctor of Medicine (MD)
Phone: (801) 268-9672

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 162090-1205 Utah

Profile Details

NPI number 1396982930
LBN Legal business name R Ralph Bradley M D Pc
DBA Doing business as
Authorized official Bradley, Ralph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2009
Last updated Feb 12th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396982930 NPPES
Utah MEDICAID 529622566001

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