Larry Dean Smith O.D.

NPI 1023083326 - Optometrist - 152W00000X

NPI Details
NPI 1023083326
Gender Male
Enumeration Date 02/21/2006
Last Updated 10/01/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
914 AVENUE G
FORT MADISON IA, 52627-4530, US
Phone (319) 372-5181
Fax (319) 372-0865
Business Location
914 AVENUE G
FORT MADISON IA, 52627-4530, US
Phone (319) 372-5181
Fax (319) 372-0865
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 1601
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According to our database, Dr. Larry Dean Smith O.D. NPI is 1023083326, taxonomy code is 152W00000X and license number is 1601, license state is located at Iowa. Larry Dean Smith O.D. physically located at 914 Avenue G, Fort Madison IA, 52627-4530. NPI Number Larry Dean Smith O.D. has the Individual type.

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1023083326 NPI number is provided on an as is basis without warranty of any kind. 1023083326 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Dean Smith O.D. are for informational purposes only.