Individual
BRADLEY ROBERT KUBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
34 BOARDMAN POLAND RD, BOARDMAN, OH 44512-4601
(330) 758-6671
Mailing address
1100 BOARDMAN CANFIELD RD APT 64B, BOARDMAN, OH 44512-8056
(412) 974-8859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6554
OH
Other
Enumeration date
05/25/2017
Last updated
03/17/2018
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