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Individual

BRADLEY MAIER

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
2029 E SIMS WAY, PORT TOWNSEND, WA 98368-6905
(360) 385-5386
(360) 385-3863
Mailing address
20669 BOND RD NE, SUITE 100, POULSBO, WA 98370-6525
(360) 779-2020
(360) 779-3093

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DD00001098
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2022382
WA
Enumeration date
09/30/2005
Last updated
07/08/2007
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