person
Bradley Alan Prast
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1790484293

Bradley Alan Prast is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, UT. Bradley Alan Prast practices in Salt Lake City, UT. The NPI Number for Bradley Alan Prast is 1790484293 and holds a License No. (Utah).

The current practice location address for Bradley Alan Prast is 50 N Medical Dr Dental Clinic #E11, Salt Lake City, UT and can be reached out via phone at 801-581-8951.

Location: 50 N Medical Dr Dental Clinic #E11, Salt Lake City, UT, 84108-1213
person
Provider Profile Details
NPI Number
1790484293
Provider Name
Bradley Alan Prast
Credential
Provider Entity Type
Individual
Gender
Male
Address
50 N Medical Dr Dental Clinic #E11, Salt Lake City, UT, 84108-1213
Phone Number
801-581-8951
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr Dental Clinic #E11
City
State
Zip
84132-1213
Phone Number
801-581-8951
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr Dental Clinic #E11
City
State
Zip
84132-1213
Phone Number
801-581-8951
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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