Individual
DR. BRADLEY V FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9035 S 1300 E, SANDY, UT 84094-3132
(801) 566-4119
(801) 568-3844
Mailing address
9035 S 1300 E, SANDY, UT 84094-3132
(801) 566-4119
(801) 568-3844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
113508-9934
UT
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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