Whalio Doctors

NPI 1417381971

Bradley Jay Sargent, RT

Practitioner Radiologic Technologist Salt Lake City, UT

Practice location

Address
500 Foothill Dr, Salt Lake City, UT 84148-0001
Phone
(801) 582-1565
Mailing address
4206 W Tahoe Way, South Jordan, UT 84095-7747

Registered specialties

Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 8348113-5401 (UT)

Registry record

NPI
1417381971
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Sep 2013
Record last updated
2 Sep 2013

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.