Desmon Paige Carl O.D.

NPI 1073518247 - Optometrist - 152W00000X

NPI Details
NPI 1073518247
Gender Male
Enumeration Date 06/15/2005
Last Updated 04/28/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
1200 WINCHESTER DR
SEDALIA MO, 65301-2467, US
Phone (660) 826-2642
Fax
Business Location
2804 BRANDON AVE
SEDALIA MO, 65301-6892, US
Phone (660) 829-0067
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number 2004017484
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According to our database, Dr. Desmon Paige Carl O.D. NPI is 1073518247, taxonomy code is 152W00000X and license number is 2004017484, license state is located at Missouri. Desmon Paige Carl O.D. physically located at 1200 Winchester Dr, Sedalia MO, 65301-2467. NPI Number Desmon Paige Carl O.D. has the Individual type.

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1073518247 NPI number is provided on an as is basis without warranty of any kind. 1073518247 is maintained by the National Plan & Provider Enumeration System. The contents of Desmon Paige Carl O.D. are for informational purposes only.