Individual
DR. ARLOGIA MELODY BRADSHAW
Active
Individual
DR. ARLOGIA MELODY BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3776T1005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611127
—
OH
01
—
2163219630
VISION SERVICE PLAN
OH
Enumeration date
12/20/2006
Last updated
08/04/2011
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