Dana Alan Grist O.D.

NPI 1033148135 - Optometrist - 152W00000X

NPI Details
NPI 1033148135
Gender Male
Enumeration Date 07/01/2006
Last Updated 07/18/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1207 N ROAN ST
JOHNSON CITY TN, 37601-3974, US
Phone (423) 928-1010
Fax (423) 928-9090
Business Location
1207 N ROAN ST
JOHNSON CITY TN, 37601-3974, US
Phone (423) 928-1010
Fax (423) 928-9090
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number ODT675
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According to our database, Dr. Dana Alan Grist O.D. NPI is 1033148135, taxonomy code is 152W00000X and license number is ODT675, license state is located at Tennessee. Dana Alan Grist O.D. physically located at 1207 N Roan St, Johnson City TN, 37601-3974. NPI Number Dana Alan Grist O.D. has the Individual type.

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1033148135 NPI number is provided on an as is basis without warranty of any kind. 1033148135 is maintained by the National Plan & Provider Enumeration System. The contents of Dana Alan Grist O.D. are for informational purposes only.