person
Mr. Bradford Greene, PA
Surgical Physician Assistant in Salt Lake City, Utah
NPI 1295998508

Bradford Greene is a Surgical Physician Assistant based in Sandy, UT and is specialized in Surgical. Bradford Greene practices in Salt Lake City, UT and has the professional credentials of PA. The NPI Number for Bradford Greene is 1295998508 and holds a License No. 322764-1206 (Utah).

The current practice location address for Bradford Greene is 500 Foothill Blvd, Salt Lake City, UT and can be reached out via phone at 801-582-1565. You can also correspond with Bradford Greene through the mailing address at 10479 DIMPLE DELL RD, SANDY, UT - 84092-6521 (mailing address contact number: 801-943-8966).

Location: 500 Foothill Blvd, Salt Lake City, UT, 84092-6521
person
Provider Profile Details
NPI Number
1295998508
Provider Name
Bradford Greene
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
500 Foothill Blvd, Salt Lake City, UT, 84092-6521
Phone Number
801-582-1565
Fax Number
Provider Enumeration Date
07/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 Foothill Blvd
City
State
Zip
84148-0001
Phone Number
801-582-1565
Fax Number
person
Provider Business Mailing Address Details
Address
10479 Dimple Dell Rd
City
State
Zip
84092-6521
Phone Number
801-943-8966
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
322764-1206 (Utah)
Definition
Definition to come...
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