Le Phan Andrus O.D.

NPI 1033193321 - Optometrist - 152W00000X

NPI Details
NPI 1033193321
Gender Female
Enumeration Date 12/01/2005
Last Updated 02/11/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
52 MDG
UNIT 3690
APO AE, 09126, US
Phone 011496565618425
Fax
Business Location
PSC 9 BOX 2951
APO AE, 09123-0030, US
Phone 0114915146157387
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 2109
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According to our database, Le Phan Andrus O.D. NPI is 1033193321, taxonomy code is 152W00000X and license number is 2109, license state is located at Colorado. Le Phan Andrus O.D. physically located at 52 Mdg, Apo AE, 09126. NPI Number Le Phan Andrus O.D. has the Individual type.

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1033193321 NPI number is provided on an as is basis without warranty of any kind. 1033193321 is maintained by the National Plan & Provider Enumeration System. The contents of Le Phan Andrus O.D. are for informational purposes only.