BRADFORD GREENE

SALT LAKE CITY, UT
NPI1295998508
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  322764-1206)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
Mr. BRADFORD GREENE PA
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Mr. BRADFORD GREENE PA
10479 DIMPLE DELL RD
SANDY, UT 84092-6521
Phone number: 801-943-8966
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