BRIAN BRADSHAW, MD
Dermatology
Active
Individual
NPI: 1811955800
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | 2806031205 (UT) |
Frequently Asked Questions
NPI 1811955800 is the National Provider Identifier for BRIAN BRADSHAW, MD, a Dermatology provider located in Provo, UT. This NPI was enumerated on May 2, 2006.
BRIAN BRADSHAW, MD practices at 1055 N 500 W, SUITE 111, Provo, UT 84604.
Quick Facts
- NPI
- 1811955800
- Type
- Individual
- Enumerated
- May 2, 2006
- Last Updated
- Nov 27, 2023
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