Gary L. Beaver O.D.

NPI 1003908237 - Optometrist - 152W00000X

NPI Details
NPI 1003908237
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
300 W LAUREL ST
INDEPENDENCE KS, 67301-3315, US
Phone (620) 331-2112
Fax (620) 331-2147
Business Location
PO BOX 47
INDEPENDENCE KS, 67301-0047, US
Phone (620) 331-2112
Fax (620) 331-2147
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1294-3
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According to our database, Dr. Gary L. Beaver O.D. NPI is 1003908237, taxonomy code is 152W00000X and license number is 1294-3, license state is located at Kansas. Gary L. Beaver O.D. physically located at 300 W Laurel St, Independence KS, 67301-3315. NPI Number Gary L. Beaver O.D. has the Individual type.

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1003908237 NPI number is provided on an as is basis without warranty of any kind. 1003908237 is maintained by the National Plan & Provider Enumeration System. The contents of Gary L. Beaver O.D. are for informational purposes only.