Madison Ashlee Bradley, PHYSICIAN ASSISTANT

NPI #1093398711 in Salt Lake City, Utah

Provider Information

NPI Number: 1093398711
Entity Type: Individual
Name: Madison Ashlee Bradley, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Apr 30, 2021
Last Updated: Dec 8, 2024

Practice Location

Address: 375 S CHIPETA WAY STE A
City: Salt Lake City
State: Utah
ZIP Code: 84108
Phone: (801) 581-7766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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