Individual provider · NPI-1
Bradley Jay Sargent, R.T.
Radiologic Technologist · Salt Lake City, UT
NPI number1417381971
StatusActive
Last updated in NPPESSep 2, 2013
Details
- NPI
- 1417381971
- Entity type
- Individual (NPI-1)
- Name
- Bradley Jay Sargent
- Credential
- R.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2013
- Last updated
- Sep 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | 8348113-5401 | UT | Yes |
Practice location
500 Foothill DrSalt Lake City, UT 84148-0001
Phone 801-582-1565
Mailing address
4206 W Tahoe WaySouth Jordan, UT 84095-7747
Phone 801-372-9979
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