Bryan Granger, OD

NPI #1497853782 in New Iberia, Louisiana

Provider Information

NPI Number: 1497853782
Entity Type: Individual
Name: Bryan Granger, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1612 E MAIN ST
Address 2: SUITE C
City: New Iberia
State: Louisiana
ZIP Code: 70560-4065
Phone: (337) 364-0425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
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