Bradley D Martinson, OD

NPI #1174774079 in Godfrey, Illinois

Provider Information

NPI Number: 1174774079
Entity Type: Individual
Name: Bradley D Martinson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 9, 2008
Last Updated: Apr 25, 2011

Practice Location

Address: 3300 GODFREY RD
City: Godfrey
State: Illinois
ZIP Code: 62035
Phone: (618) 466-8787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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