Individual
DR. BRADLEY ANDREW SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
225 MAIN ST, #200, DAYTON, TN 37321-1329
(423) 779-7712
Mailing address
225 MAIN ST, #200, DAYTON, TN 37321-1329
(423) 779-7712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2767
TN
Other
Enumeration date
07/02/2007
Last updated
01/28/2013
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