person
Mr. Bradley Orin Stevens, PA-C
Surgical Physician Assistant in Salt Lake City, Utah
NPI 1396283248

Bradley Orin Stevens is a Surgical Physician Assistant based in Salt Lake City, UT and is specialized in Surgical. Bradley Orin Stevens practices in Salt Lake City, UT and has the professional credentials of PA-C. The NPI Number for Bradley Orin Stevens is 1396283248 and holds a License No. 7731542-1206 (Utah).

The current practice location address for Bradley Orin Stevens is 5848 S Fashion Blvd Ste 110, Salt Lake City, UT and can be reached out via phone at 801-314-4005 and via fax at 801-314-4015.

Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT, 84107-6175
person
Provider Profile Details
NPI Number
1396283248
Provider Name
Bradley Orin Stevens
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5848 S Fashion Blvd Ste 110, Salt Lake City, UT, 84107-6175
Phone Number
801-314-4005
Fax Number
801-314-4015
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5848 S Fashion Blvd Ste 110
City
State
Zip
84107-6175
Phone Number
801-314-4005
Fax Number
801-314-4015
person
Provider Business Mailing Address Details
Address
5848 S Fashion Blvd Ste 110
City
State
Zip
84107-6175
Phone Number
801-314-4005
Fax Number
801-314-4015
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
7731542-1206 (Utah)
Definition
Definition to come...
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