| Mr Bradford D Hare, MD | |
| 50 N Medical Dr, Slc, UT 84132 | |
| (801) 581-6393 | |
| (801) 587-6459 | 
| Full Name | Mr Bradford D Hare | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 50 N Medical Dr, Slc, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215012992 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 164474-1205 (Utah) | Primary | 
| 207LP2900X | Anesthesiology - Pain Medicine | 164474-1205 (Utah) | Secondary | 
| Entity Name | U U Anesthesiology Department School Of Medicine | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1134158322 PECOS PAC ID: 8527963966 Enrollment ID: O20031128000007 | 
| Entity Name | University Of Utah Adult Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Bradford D Hare, MD Po Box 413034, Salt Lake City, UT 84141-3034 Ph: (801) 213-3900 | Mr Bradford D Hare, MD 50 N Medical Dr, Slc, UT 84132 Ph: (801) 581-6393 | 
| Philip Owen,  Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Dept Of, Slc, UT 84132 Phone: 801-587-1771 Fax: 801-581-4367 | |
| Mr. Clint Christensen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
| Georges Desjardins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
| Rachel Griffin, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-2121 | |
| Sean Torin Runnels, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-6393 | |
| Joshua Micah Zimmerman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Slc, Slc, UT 84132 Phone: 801-581-6393 |