Rulon Ralph Bradley in Salt Lake City - Procedural Dermatology

Rulon Ralph Bradley - NPI 1386681005

Rulon Ralph Bradley is a Procedural Dermatology in Salt Lake City, Utah. Rulon Ralph Bradley practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Rulon Ralph Bradley is 1386681005. The last update date is 2007-07-09.

Rulon Ralph Bradley's current location address is 4659 Stillwood Cir, Salt Lake City, Utah. You can contact this provider via phone number 8012785902. The mailing address for Rulon Ralph Bradley is 4659 Stillwood Cir, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Rulon Ralph Bradley
Address 4659 Stillwood Cir, Salt Lake City, Utah
Phone Number 8012785902
Fax Number
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1386681005
Provider Enumeration Date 2006-06-01
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4659 Stillwood Cir
City Salt Lake City
State Utah (UT)
Post Code 841178055
Phone Number 8012785902
Fax Number

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 1620908905
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
391841 UT UNITED HEALTH CARE/AM
391841 UT UNITED HEALTH CARE/PLUS
1424448 UT FIRST HEALTH
300062 UT AARP/UNITED HEALTH CARE
300062 UT UHC EMPLOYEE CLAIMS
1181 UT PUBLIC EMPLOYEES HEALTH
300062 UT UNITED HEALTH CARE
4116634 UT AETNA
300062 UT UNITED MED CHOICE
123482 UT ALTIUS SUMMIT CARE

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FAQs about Rulon Ralph Bradley

What is the Rulon Ralph Bradley's 1386681005?

The Rulon Ralph Bradley's NPI (National Provider Identifier) Number is 1386681005. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Rulon Ralph Bradley's facilities are situated?

The facilities of Rulon Ralph Bradley are physically located at the following address: 4659 Stillwood Cir, Salt Lake City, UT, 841178055.

What is Rulon Ralph Bradley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Rulon Ralph Bradley's specialized field of practice is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ns0135X.

When was the Rulon Ralph Bradley's 1386681005 issued?

The Rulon Ralph Bradley's 1386681005 was issued on 2006-06-01.

As of what date were the details related to Rulon Ralph Bradley most recently updated or revised?

The information pertaining to Rulon Ralph Bradley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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