Organization
BRAD WELLS OD PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD FRANKLIN WELLS OD (OWNER)
(918) 258-3102
Entity
Organization
Contact information
Practice address
2142 W DETROIT ST, BROKEN ARROW, OK 74012
(918) 258-3102
Mailing address
2142 W DETROIT ST, BROKEN ARROW, OK 74012
(918) 258-3102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2437
OK
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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