BRAD VICTOR NUTTALL

PHOENIX, AZ
NPI1699290478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  2722)
Additional Taxonomies152W00000X Optometrist
(Licence: AL  S-D88-TA-A81)
152W00000X Optometrist
(Licence: OK  3140)
Enumeration Date2017-08-14
Last Update Date2024-09-04
Business Address
BRAD VICTOR NUTTALL OD
18325 N ALLIED WAY STE 100
PHOENIX, AZ 85054-3106
Phone number: 602-467-4966
Mailing Address
BRAD VICTOR NUTTALL OD
18325 N ALLIED WAY STE 100
PHOENIX, AZ 85054-3106
Phone number: 602-467-4966