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Individual

DR. BRIDGET D MOTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9805 N MAY AVE, OKLAHOMA CITY, OK 73120
(405) 749-2020
(405) 492-6446
Mailing address
9805 N MAY AVE, OKLAHOMA CITY, OK 73120-2738
(405) 749-2020
(405) 492-6446

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2601
OK
152W00000X
Optometrist
2815
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200263170A
OK
Enumeration date
08/03/2009
Last updated
06/29/2018
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