Individual
BRADLEY A UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000730
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118902
UNISON HEALTH PLAN
PA
05
—
0017435840001
—
PA
01
—
1011299
HEALTH AMERICA
PA
01
—
117026
AETNA
PA
01
—
410037579
RAILROAD MEDICARE
PA
Enumeration date
06/10/2006
Last updated
09/03/2010
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