LEE W BRADSHAW

OGDEN, UT
NPI1588660773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health
(Licence: UT  6242996-4405)
Enumeration Date2005-06-22
Last Update Date2022-07-12
Business Address
MR. LEE W BRADSHAW APRN
3903 HARRISON BLVD #300
OGDEN, UT 84403-8440
Phone number: 801-387-4930
Mailing Address
MR. LEE W BRADSHAW APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-5600