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NPI Code Detail

MEDICARE: CYNTHIA A BRADFORD M.D.

MEDICARE: CYNTHIA A BRADFORD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician14833OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013998681
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA A BRADFORD M.D.
Provider Business Mailing Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number : 405-271-6060
Fax Number : 405-271-7873
Provider Business Practice Location Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number : 405-271-6060
Fax Number : 405-271-7873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 08/04/2020

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Directions to “ CYNTHIA A BRADFORD M.D.” Practice Location

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