Bradley W. Church, O.D.

NPI #1790762821 in Culpeper, Virginia

Provider Information

NPI Number: 1790762821
Entity Type: Individual
Name: Bradley W. Church, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 29, 2005
Last Updated: Feb 12, 2011

Practice Location

Address: 15189 MONTANUS DR
City: Culpeper
State: Virginia
ZIP Code: 22701-1679
Phone: (540) 825-8220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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