Provider Demographics
NPI:1588688360
Name:URIE, BRADLEY ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:ALLEN
Last Name:URIE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1992 W ANTELOPE DR
Mailing Address - Street 2:STE 1C
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-4974
Mailing Address - Country:US
Mailing Address - Phone:801-335-5384
Mailing Address - Fax:801-295-1700
Practice Address - Street 1:1992 W ANTELOPE DR
Practice Address - Street 2:STE 1C
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-4974
Practice Address - Country:US
Practice Address - Phone:801-335-5384
Practice Address - Fax:801-295-1700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2017-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT284903-1205207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine