Individual provider · Type 1 NPI

Jackson Miles Bradford, PA

Physician Assistant · American Fork, UT

NPI number 1477314003 Active

Practice location

1175 E 50 S Ste 221
American Fork, UT 84003-2845

Call (801) 772-0775 Map

Fax (801) 772-1941

Mailing address

1055 N 500 W, Attn Credentialing
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14078197-1206 (UT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477314003

Jackson Miles Bradford, PA's National Provider Identifier is 1477314003, issued on Jan 22, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in American Fork, UT. The record was last updated on Dec 18, 2024.