Individual provider · Type 1 NPI

Bradley Douglas Shields, MD, PhD

Student in an Organized Health Care Education/Training Program · Murray, UT

NPI number 1255956835 Active

Practice location

5121 S Cottonwood St
Murray, UT 84107-5701

Call (801) 507-7000 Map

Mailing address

2832 S West Temple Unit 8
South Salt Lake, UT 84115-3504

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255956835

Bradley Douglas Shields, MD, PhD's National Provider Identifier is 1255956835, issued on Jun 10, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Murray, UT. The record was last updated on Jul 9, 2020.