Brad Wells Od PC INC

NPI #1902065972 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1902065972
Entity Type: Organization
Organization Name: Brad Wells Od PC INC
Primary Specialty: Optometrist
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 2142 W DETROIT ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012
Phone: (918) 258-3102

Authorized Official

Name: DR. BRAD FRANKLIN WELLS, OD
Title: OWNER
Phone: (918) 258-3102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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