Steven D. Bravard, O.D., P.A.
Optometrist in Little Rock, AR. Organization (NPI-2).
NPI number1780975367
StatusActive
Last updated in NPPESApr 29, 2011
Details
- NPI
- 1780975367
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven D. Bravard, O.D., P.A.
- Organization subpart
- No
- Enumeration date
- Apr 29, 2011
- Last updated
- Apr 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2397 | AR | Yes |
Practice location
2700 S Shackleford RdLittle Rock, AR 72205-6918
Phone 501-228-3937 · Fax 501-225-4576
Mailing address
2700 S Shackleford RdLittle Rock, AR 72205-6918
Phone 501-228-3937 · Fax 501-225-4576
Authorized official
Steven Douglas Bravard
President
5012283937
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