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Bradley Pedersen
NPI 1538477187 · on the registry since 2010
Practice
- Address
- 340 E 100 S
Salt Lake City, UT 84111 - Phone
- (801) 322-3222
- Organisation at this address
- Odyssey House
Odyssey House Inc
Odyssey House Of UtahInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Sex
- Male
- Record last updated
- 2010-09-16
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