Whalio Doctors

NPI 1710298047

Bradford Jason Stevenson, MD

Practitioner Urology Physician Ogden, UT

Practice location

Address
4700 Harrison Blvd, Ogden, UT 84403-4303
Phone
(801) 475-3160
Fax
(801) 475-3161
Mailing address
PO Box 5546, Denver, CO 80217-5546

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 9294521-1205 (UT)

Registry record

NPI
1710298047
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jul 2010
Record last updated
21 Jul 2022

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.