Jackson Miles Bradford, PA

NPI #1477314003 in American Fork, Utah

Provider Information

NPI Number
1477314003
Entity Type
Individual
Name
Jackson Miles Bradford, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jan 22, 2024
Last Updated
Dec 18, 2024

Practice Location

Address
1175 E 50 S STE 221
State
Utah
ZIP Code
84003-2845
Phone
(801) 772-0775

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Student in an Organized Health Care Education/Training Program

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