Bradley Wayne Anderson, M.D.

NPI #1124086186 in Provo, Utah

Provider Information

NPI Number
1124086186
Entity Type
Individual
Name
Bradley Wayne Anderson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
May 1, 2006
Last Updated
Oct 26, 2011

Practice Location

Address
1355 N UNIVERSITY AVE
Address 2
#210
City
Provo
State
Utah
ZIP Code
84604-2721
Phone
(801) 373-8930

Specialties & Taxonomy Codes

Specialty
Pediatrics

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