Tannon Bradley, OD

NPI #1972297109 in Provo, Utah

Provider Information

NPI Number: 1972297109
Entity Type: Individual
Name: Tannon Bradley, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 1355 N UNIVERSITY AVE STE 100
City: Provo
State: Utah
ZIP Code: 84604-2721
Phone: (801) 377-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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