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Individual

DR. DAVID BRADLEY ANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2314 COMMON CT STE 2-3, RUSTON, LA 71270-7225
(318) 232-6552
(318) 588-7930
Mailing address
2313 COMMONS COURT, SUITE 4, RUSTON, LA 71270
(318) 232-6552
(318) 588-7930

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1857-791AT
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2452118
LA
Enumeration date
05/22/2017
Last updated
03/14/2019
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