NPI 1174932081

Jerald Bradford

Practitioner Other Technician Blanding, UT

Practice location

Address: 356 S Main St, Blanding, UT 84511-3830
Phone: (435) 678-2992
Fax: (435) 678-3116

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Utah →

Registry record

NPI: 1174932081
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2014
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.