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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRADFORD GREENE, PA

Active Sole Proprietor

MR. BRADFORD GREENE, PA is a Surgical Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1295998508 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · SALT LAKE CITY, UT

Registration Details

NPI Number
1295998508
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2008 (18.134977775152 yrs)
Last Updated
Jul 7, 2008
License
322764-1206 (UT)
Sole Proprietor
Yes

Practice Information

Address
500 FOOTHILL BLVD
SALT LAKE CITY, UT, 841480001
Browse UT providers · Browse ZIP 84148
Phone
8015821565
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in SALT LAKE CITY, UT

Name Credential NPI
THOMAS L CURETON PA-C 1578566154
SCOTT C FRISCHKNECHT PA-C 1013901792
SCOTT A TATUM 1205877842
MRS. JENNIFER A. REYNOLDS P.A. 1326118274
CHARITY OAKS COE PA-C 1184824005
THOMAS G ASTURIAS PA-C 1336334135
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.