Gregg Duistermars O.D.

NPI 1376696427 - Optometrist - 152W00000X

NPI Details
NPI 1376696427
Gender Male
Enumeration Date 01/20/2007
Last Updated 08/20/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1201 MEDICAL PLAZA CT
GRANBURY TX, 76048-5684, US
Phone (817) 279-9044
Fax (817) 573-6234
Business Location
1201 MEDICAL PLAZA CT
GRANBURY TX, 76048-5684, US
Phone (817) 279-9044
Fax (817) 573-6234
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 7368TG
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According to our database, Gregg Duistermars O.D. NPI is 1376696427, taxonomy code is 152W00000X and license number is 7368TG, license state is located at Texas. Gregg Duistermars O.D. physically located at 1201 Medical Plaza Ct, Granbury TX, 76048-5684. NPI Number Gregg Duistermars O.D. has the Individual type.

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1376696427 NPI number is provided on an as is basis without warranty of any kind. 1376696427 is maintained by the National Plan & Provider Enumeration System. The contents of Gregg Duistermars O.D. are for informational purposes only.