Bradford A Gale in Salt Lake City - Physician Assistant
Bradford A Gale - NPI 1932126976
Bradford A Gale is a Physician Assistant in Salt Lake City, Utah. Bradford A Gale practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bradford A Gale is 1932126976. The last update date is 2012-02-24.
Bradford A Gale's current location address is 100 Mario Capecchi Drive, Salt Lake City, Utah. You can contact this provider via phone number 8016625400 and fax number 8015876459. The mailing address for Bradford A Gale is 100 Mario Capecchi Drive, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradford A Gale |
|---|---|
| Address | 100 Mario Capecchi Drive, Salt Lake City, Utah |
| Phone Number | 8016625400 |
| Fax Number | 8015876459 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932126976 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2012-02-24 |
Provider Mailing Address Detail
| Address | 100 Mario Capecchi Drive |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016625400 |
| Fax Number | 8015876459 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 199792-1206 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97009604 | UT | PALMETTO | |
| 19979210200001 | UT | BCBS OF UTAH |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bradford A Gale by the Centers for Medicare & Medicaid Services?
The Bradford A Gale has been assigned the NPI (National Provider Identifier) 1932126976 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Bradford A Gale?
The Bradford A Gale is physically situated at 100 Mario Capecchi Drive, in the city of Salt Lake City, state of UT, with the postal code 841131103.
What is Bradford A Gale's area of expertise and its corresponding taxonomy classification?
The Bradford A Gale's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Bradford A Gale receive its 1932126976 assignment from the Centers for Medicare & Medicaid Services?
The Bradford A Gale was assigned its 1932126976 on 2006-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bradford A Gale most recently updated?
The details pertaining to the Bradford A Gale, including its address, specialty, and other relevant information, were last refreshed on 2012-02-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC