Individual
BRIAN A. PADGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
110 E HARRISON AVE, GUTHRIE, OK 73044-4839
(405) 282-4396
(405) 282-8298
Mailing address
110 E HARRISON AVE, GUTHRIE, OK 73044-4839
(405) 282-4396
(405) 282-8298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2493
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101850A
—
OK
Enumeration date
09/20/2006
Last updated
10/11/2010
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