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Russell D Bradford, MD
Pediatric Infectious Diseases Physician in Provo, Utah
NPI 1316093446

Russell D Bradford is a Pediatric Infectious Diseases Physician based in Salt Lake City, UT and is specialized in Pediatric Infectious Diseases. Russell D Bradford practices in Provo, UT and has the professional credentials of MD. The NPI Number for Russell D Bradford is 1316093446 and holds a License No. 23648 (Utah).

The current practice location address for Russell D Bradford is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-491-6482.

Location: 1034 N 500 W, Provo, UT, 84127-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316093446
Provider Name
Russell D Bradford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 N 500 W, Provo, UT, 84127-0128
Phone Number
801-491-6482
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009919575 05 AL
009912727 05 AL
009919585 05 AL
051545309 01 AL BCBS
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-491-6482
Fax Number
person
Provider Business Mailing Address Details
Address
1034 N 500 W
City
Provo
State
Utah
Zip
84604-3380
Phone Number
801-491-6482
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Infectious Diseases
Taxonomy
2080P0208X
License No.
23648 (Alabama)
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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