Individual
DR. BRADLEY JAMES BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5101 SE 14TH ST, DES MOINES, IA 50320-1609
(515) 287-7891
(515) 287-7707
Mailing address
5101 SE 14TH ST, DES MOINES, IA 50320-1609
(515) 287-7891
(515) 287-7707
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1794
IA
152W00000X
Optometrist
7733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6120410
—
IA
Enumeration date
08/22/2006
Last updated
07/08/2007
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