Individual
BRADY PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 BROOK RD, SUITE 852A, GLEN ALLEN, VA 23059-4225
(804) 266-9511
(804) 266-3871
Mailing address
10101 BROOK RD, SUITE 852A, GLEN ALLEN, VA 23059-4225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002443
VA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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