IndividualActive
Jerald Bradford
NPI 1174932081 · Other Technician · Blanding, UT
Provider details
- NPI number
- 1174932081
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
356 S Main St
Blanding, UT 84511-3830
Phone: (435) 678-2992
Fax: (435) 678-3116
Approximate (ZIP-level) locationGet directions
Mailing address
356 S Main St
Blanding, UT 84511-3830
Registry dates
- Enumerated
- 2014-08-05
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.