BRADLEY S BASHAM

FORT WAYNE, IN
NPI1477547628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18002201)
Enumeration Date2005-09-02
Last Update Date2015-06-10
Business Address
Dr. BRADLEY S BASHAM O.D.
1515 E PAULDING RD
FORT WAYNE, IN 46816-1252
Phone number: 260-744-2273
Mailing Address
Dr. BRADLEY S BASHAM O.D.
1515 E PAULDING RD
FORT WAYNE, IN 46816-1252
Phone number: 260-744-2273
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