Otto Jullian Tribble OD

NPI 1083747315 - Optometrist - 152W00000X

NPI Details
NPI 1083747315
Gender Male
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
385 N HIGHLAND ST
#2
MEMPHIS TN, 38122-4573, US
Phone (901) 323-2684
Fax
Business Location
385 N HIGHLAND ST
#2
MEMPHIS TN, 38122-4573, US
Phone (901) 323-2684
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number OD 11
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According to our database, Dr. Otto Jullian Tribble OD NPI is 1083747315, taxonomy code is 152W00000X and license number is OD 11, license state is located at Tennessee. Otto Jullian Tribble OD physically located at 385 N Highland St, Memphis TN, 38122-4573. NPI Number Otto Jullian Tribble OD has the Individual type.

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1083747315 NPI number is provided on an as is basis without warranty of any kind. 1083747315 is maintained by the National Plan & Provider Enumeration System. The contents of Otto Jullian Tribble OD are for informational purposes only.