Individual provider · Type 1 NPI

Bradley Orin Stevens, PA-C

Surgical Physician Assistant · Salt Lake City, UT

NPI number 1396283248 Active

Practice location

5848 S Fashion Blvd Ste 110
Salt Lake City, UT 84107-6175

Call (801) 314-4005 Map

Fax (801) 314-4015

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7731542-1206 (UT)

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1396283248

Bradley Orin Stevens, PA-C's National Provider Identifier is 1396283248, issued on Feb 10, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 16, 2017.