Bradley Henriksen, M.D

NPI 1467838094 · on the registry since 2015

Practice

Address: 1735 N State St
Provo, UT 84604
Phone: (801) 374-1818
Organisation at this address: Central Utah Optical
Central Utah Eye Associates
Excel Cosmetic Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 207WX0110X
207WX0110X
Also registered as: 207W00000X
Licence states on file: UT, OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah