Mark Henry Harder OD

NPI 1093787459 - Optometrist - 152W00000X

NPI Details
NPI 1093787459
Gender Male
Enumeration Date 02/01/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1150 W ORANGEBURG AVE
MODESTO CA, 95350-4042, US
Phone (209) 526-9883
Fax (209) 526-8681
Business Location
1150 W ORANGEBURG AVE
MODESTO CA, 95350-4042, US
Phone (209) 526-9883
Fax (209) 526-8681
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number CA07481T
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According to our database, Dr. Mark Henry Harder OD NPI is 1093787459, taxonomy code is 152W00000X and license number is CA07481T, license state is located at California. Mark Henry Harder OD physically located at 1150 W Orangeburg Ave, Modesto CA, 95350-4042. NPI Number Mark Henry Harder OD has the Individual type.

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1093787459 NPI number is provided on an as is basis without warranty of any kind. 1093787459 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Henry Harder OD are for informational purposes only.