Individual provider · Type 1 NPI

Bradley Alan Prast

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1790484293 Active

Practice location

50 N Medical Dr Dental Clinic #E11
Salt Lake City, UT 84132-1213

Call (801) 581-8951 Map

Mailing address

530 S Wakara Way
Salt Lake City, UT 84108-1213

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 1790484293

Bradley Alan Prast's National Provider Identifier is 1790484293, issued on Feb 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 27, 2023.