Dr. Bradley Alan Anderson, D.C.
Chiropractor in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1790022382
StatusActive
Last updated in NPPESJan 23, 2018
Details
- NPI
- 1790022382
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Alan Anderson
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2013
- Last updated
- Jan 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 8536046-1202 | UT | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 8536046-1202 | UT | |
| 111NS0005X | Chiropractor, Sports Physician | 8536046-1202 | UT | |
| 111NX0100X | Chiropractor, Occupational Health | 8536046-1202 | UT |
Practice location
3980 S 700 E Ste 23Salt Lake City, UT 84107-2530
Phone 801-456-0350 · Fax 801-456-0351
Mailing address
3980 S 700 E Ste 23Salt Lake City, UT 84107-2530
Phone 801-456-0350 · Fax 801-456-0350
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