Bradeigh Smithson Godfrey D.O.

NPI 1083881734 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1083881734
Gender Female
Enumeration Date 05/12/2008
Last Updated 05/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
258 HERITAGE CTR
SALT LAKE CITY UT, 84112-2004, US
Phone (801) 587-1290
Fax
Business Location
258 HERITAGE CTR
SALT LAKE CITY UT, 84112-2004, US
Phone (801) 587-1290
Fax
Toxanomy
Taxonomy Code 208100000X
License State Utah
License Number 6851437-1204
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According to our database, Bradeigh Smithson Godfrey D.O. NPI is 1083881734, taxonomy code is 208100000X and license number is 6851437-1204, license state is located at Utah. Bradeigh Smithson Godfrey D.O. physically located at 258 Heritage Ctr, Salt Lake City UT, 84112-2004. NPI Number Bradeigh Smithson Godfrey D.O. has the Individual type.

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1083881734 NPI number is provided on an as is basis without warranty of any kind. 1083881734 is maintained by the National Plan & Provider Enumeration System. The contents of Bradeigh Smithson Godfrey D.O. are for informational purposes only.