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1154312197
BRADLEY DRYDEN ROOT
ST GEORGE, UT
NPI
1154312197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081P2900X Physical Medicine & Rehabilitation Pain Medicine
(Licence: UT 328393-1204)
Enumeration Date
2005-10-31
Last Update Date
2017-06-14
Business Address
DR. BRADLEY DRYDEN ROOT D.O.
1424 E FOREMASTER DR STE 120
ST GEORGE, UT 84790-5844
Phone number: 435-656-8800
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Mailing Address
DR. BRADLEY DRYDEN ROOT D.O.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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