RUSSELL D BRADFORD

PROVO, UT
NPI1316093446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: UT  7975085-1205)
Additional Taxonomies2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: AL  23648)
Enumeration Date2007-01-25
Last Update Date2026-06-19
Business Address
RUSSELL D BRADFORD M.D.
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-8411
Mailing Address
RUSSELL D BRADFORD M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-8411