Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL D BRADFORD, M.D.
ActiveRUSSELL D BRADFORD, M.D. is a Pediatric Infectious Diseases healthcare provider located in PROVO, Utah. NPI 1316093446 is currently active in the NPPES registry. Verify at CMS.
Pediatric Infectious Diseases · PROVO, UT
Registration Details
- NPI Number
- 1316093446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2007 (19.570893917569 yrs)
- Last Updated
- Jun 8, 2012
- License
-
23648 (AL)
Practice Information
- Address
-
1034 N 500 WPROVO, UT, 846043380Browse UT providers · Browse ZIP 84604
- Phone
- 8014916482
- Primary Specialty
-
Pediatric Infectious Diseases
2080P0208X
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.