DR. Jason L Bradley, O.D.

NPI #1275621161 in Minot, North Dakota

Provider Information

NPI Number: 1275621161
Entity Type: Individual
Name: DR. Jason L Bradley, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 10, 2006
Last Updated: Sep 21, 2016

Practice Location

Address: 207 MAIN ST S
City: Minot
State: North Dakota
ZIP Code: 58701-3915
Phone: (701) 852-5626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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