Individual
BRADLEY K FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104
(405) 271-1091
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-1091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13105
OK
207WX0109X
Neuro-ophthalmology Physician
Primary
13105
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100629440D
—
OK
Enumeration date
03/03/2006
Last updated
05/15/2018
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