Organization
STEVEN D. BRAVARD, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN DOUGLAS BRAVARD O.D. (PRESIDENT)
(501) 228-3937
Entity
Organization
Contact information
Practice address
2700 S SHACKLEFORD RD, LITTLE ROCK, AR 72205-6918
(501) 228-3937
(501) 225-4576
Mailing address
2700 S SHACKLEFORD RD, LITTLE ROCK, AR 72205-6918
(501) 228-3937
(501) 225-4576
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2397
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120862722
—
AR
Enumeration date
04/29/2011
Last updated
04/29/2011
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