Individual
DANIEL BRIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
247 BUNTYN ST, MEMPHIS, TN 38111-1619
(904) 874-0355
Mailing address
247 BUNTYN ST, MEMPHIS, TN 38111-1619
(904) 874-0355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3313
TN
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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