Individual
DR. DEREK RUSSELL BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1693 WYANDOTTE RD, COLUMBUS, OH 43212-2305
(937) 710-5447
Mailing address
1693 WYANDOTTE RD, COLUMBUS, OH 43212-2305
(937) 710-5447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007325
OH
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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