Individual
DR. TY M GRADEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
405 S MARKET ST, PRIMARY EYE CARE CENTER PC, ELIZABETHTOWN, PA 17022
(717) 367-1883
(717) 367-1884
Mailing address
405 S MARKET ST, PRIMARY EYE CARE CENTER PC, ELIZABETHTOWN, PA 17022
(717) 367-1883
(717) 367-1884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001522
PA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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