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1316093446
RUSSELL D BRADFORD
PROVO, UT
NPI
1316093446
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: AL 23648)
Enumeration Date
2007-01-25
Last Update Date
2012-06-08
Business Address
-- RUSSELL D BRADFORD M.D.
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-491-6482
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Mailing Address
-- RUSSELL D BRADFORD M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-491-6482
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