Individual
MICHAEL B BRADFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 271-3804
(334) 270-3375
Mailing address
2752 ZELDA RD, MONTGOMERY, AL 36106-2694
(334) 271-3804
(334) 270-3375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5565TA138
AL
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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