Male or Other

Bradley C. Taylor D.O.

Ophthalmology Physician in Edmond, OK(View on Map)

Full Name

Bradley Clifford Taylor D.O.

NPI Number

1902809643

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/26/2005

Specialties

(Taxonomies)

Code

207W00000X

Primary Taxonomy

Yes

Licenses

State

Oklahoma

License Number

2479

Contact
Information

Purpose

Mailing
Location

Address

14701 N SANTA FE AVE
14701 N SANTA FE AVE

City

Edmond
Edmond

State

OK
OK

Postal Code

73013-3411
73013-3411

Country

US
US

Telephone Number

(405) 752-2733
(405) 752-2733

Identifiers

Identifier

2871904
100153730A
899616
458329

Identifier State

OK
OK
OK
OK

Identifier Issuer

CIGNA
Unknown
UNITED HEALTHCARE
AETNA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/08/2008

Provider Address

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