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Contact Information

BRADLEY K LEWIS, MD
1126 DRAPER PKWY
DRAPER, UT84020-9095
 Phone: 801-545-0600
 Fax: 801-545-0626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for BRADLEY K LEWIS · (Male)

NPI Number 1871609222
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 12/27/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 94-277413-1205
  • UT Medicaid 870639098001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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