Individual
DR. BRAD SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6534
OK
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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