Patrick Glade Whitworth O.D.

NPI 1003848615 - Optometrist - 152W00000X

NPI Details
NPI 1003848615
Gender Male
Enumeration Date 07/06/2006
Last Updated 07/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
19045 E VALLEY VIEW PKWY
INDEPENDENCE MO, 64055-7030, US
Phone (816) 795-7777
Fax (816) 795-1290
Business Location
19045 E VALLEY VIEW PKWY
SUITE A
INDEPENDENCE MO, 64055-7030, US
Phone (816) 795-7777
Fax (816) 795-1290
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number TO3371
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According to our database, Dr. Patrick Glade Whitworth O.D. NPI is 1003848615, taxonomy code is 152W00000X and license number is TO3371, license state is located at Missouri. Patrick Glade Whitworth O.D. physically located at 19045 E Valley View Pkwy, Independence MO, 64055-7030. NPI Number Patrick Glade Whitworth O.D. has the Individual type.

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1003848615 NPI number is provided on an as is basis without warranty of any kind. 1003848615 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Glade Whitworth O.D. are for informational purposes only.