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Individual

DR. BRADLEY ADAM DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115
Mailing address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3020
OK

Other

Enumeration date
07/23/2019
Last updated
07/20/2020
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