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1255956835
BRADLEY DOUGLAS SHIELDS
MURRAY, UT
NPI
1255956835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-06-10
Last Update Date
2020-07-09
Business Address
Dr. BRADLEY DOUGLAS SHIELDS MD, PhD
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
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Mailing Address
Dr. BRADLEY DOUGLAS SHIELDS MD, PhD
2832 S WEST TEMPLE UNIT 8
S SALT LAKE, UT 84115-3504
Phone number: 662-715-9183
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