Parisa Tackett Dudley O.D.

NPI 1063505097 - Optometrist - 152W00000X

NPI Details
NPI 1063505097
Gender Female
Enumeration Date 10/02/2006
Last Updated 07/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
3985 PARKWOOD RD
SUITE 101
BESSEMER AL, 35022-5690, US
Phone (205) 424-9608
Fax (205) 424-9609
Business Location
3985 PARKWOOD RD
SUITE 101
BESSEMER AL, 35022-5690, US
Phone (205) 424-9608
Fax (205) 424-9609
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number SA81TA666
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According to our database, Dr. Parisa Tackett Dudley O.D. NPI is 1063505097, taxonomy code is 152W00000X and license number is SA81TA666, license state is located at Alabama. Parisa Tackett Dudley O.D. physically located at 3985 Parkwood Rd, Bessemer AL, 35022-5690. NPI Number Parisa Tackett Dudley O.D. has the Individual type.

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1063505097 NPI number is provided on an as is basis without warranty of any kind. 1063505097 is maintained by the National Plan & Provider Enumeration System. The contents of Parisa Tackett Dudley O.D. are for informational purposes only.