| NPI Details | |
|---|---|
| NPI | 1194863936 |
| Enumeration Date | 02/02/2007 |
| Last Updated | 12/07/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | BRADLEY BRADLEY |
| Position | PRESIDENT |
| Phone | (801) 423-3306 |
| Fax | (801) 423-3309 |
| Practice Location | |
|---|---|
| 2100 W SUNSET DR RIVERTON WY, 82501-2274, US |
|
| Phone | (801) 423-3306 |
| Fax | (801) 423-3309 |
| Business Location | |
|---|---|
| PO BOX 1276 SALEM UT, 84653-1276, US |
|
| Phone | (801) 423-3306 |
| Fax | (801) 423-3309 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 146D00000X |
| License State | |
| License Number | |
| Remove 1194863936 NPI Number | |
According to our database, Fremont County Emergency Physicians Pc NPI is 1194863936, taxonomy code is 146D00000X Fremont County Emergency Physicians Pc physically located at 2100 W Sunset Dr, Riverton WY, 82501-2274. NPI Number 1033115704 has the healthcare provider type.
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1194863936 NPI number is provided on an as is basis without warranty of any kind. 1194863936 is maintained by the National Plan & Provider Enumeration System. The contents of Fremont County Emergency Physicians Pc are for informational purposes only.
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