Organization
BRADLEY W GREIDER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY WILLIAM GREIDER MD (PRESIDENT OWNER)
(760) 758-2020
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY, STE 120, VISTA, CA 92083-6031
(760) 758-2020
(760) 758-1410
Mailing address
2067 W VISTA WAY, STE 120, VISTA, CA 92083-6031
(760) 758-2020
(760) 758-1410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G464610
—
CA
Enumeration date
09/19/2006
Last updated
11/11/2020
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