Individual
DR. BRANDON B WAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
905 E 7TH AVE STE 2, OAKDALE, LA 71463-2788
(318) 335-0220
Mailing address
27796 HWY 16, DENHAM SPRINGS, LA 70726
(225) 933-4274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1537-559T
LA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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