| Dr Rulon Ralph Bradley, MD | |
|
166 E 5900 S, Suite B-111, Salt Lake City, UT 84107-7257 | |
| (801) 268-9672 | |
| (801) 266-9390 |
| Full Name | Dr Rulon Ralph Bradley |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 166 E 5900 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386681005 | NPI | - | NPPES |
| 0391841 | Other | UT | UNITED HEALTH CARE/AM |
| 0391841 | Other | UT | UNITED HEALTH CARE/PLUS |
| 1424448 | Other | UT | FIRST HEALTH |
| 0300062 | Other | UT | AARP/UNITED HEALTH CARE |
| 0300062 | Other | UT | UHC EMPLOYEE CLAIMS |
| 1181 | Other | UT | PUBLIC EMPLOYEES HEALTH |
| 0300062 | Other | UT | UNITED HEALTH CARE |
| 4116634 | Other | UT | AETNA |
| 0300062 | Other | UT | UNITED MED CHOICE |
| 123482 | Other | UT | ALTIUS SUMMIT CARE |
| 123482 | Other | UT | ALTIUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 1620901205 (Utah) | Primary |
| 207NS0135X | Dermatology - Procedural Dermatology | 1620908905 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rulon Ralph Bradley, MD 4659 Stillwood Cir, Salt Lake City, UT 84117-8055 Ph: (801) 278-5902 | Dr Rulon Ralph Bradley, MD 166 E 5900 S, Suite B-111, Salt Lake City, UT 84107-7257 Ph: (801) 268-9672 |
Caitlin Marie Bolender, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132 Phone: 801-581-5509 | |
Dr. Lana Ngoc Pho, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6340 Fax: 801-587-6346 | |
Justin F Thulin, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124 Phone: 801-266-7325 Fax: 801-281-2263 | |
Bahman Sotoodian, MD, FRCP(C), FAAD Dermatology Medicare: Medicare Enrolled Practice Location: 440 W 200 S Ste 250, Salt Lake City, UT 84101 Phone: 801-595-1600 | |
Amber R. Jimenez, MD Dermatology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132 Phone: 015-816-4658 | |
Dr. Douglas L Powell, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2955 | |
David A Wada, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132 Phone: 801-581-2955 |