Patrick Henry OD

NPI 1073519849 - Optometrist - 152WC0802X

NPI Details
NPI 1073519849
Gender Male
Enumeration Date 06/24/2005
Last Updated 05/24/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
9640 OLDE US 20
ROSSFORD OH, 43460-1712, US
Phone (419) 874-4045
Fax (419) 874-4061
Business Location
9640 OLDE US 20
ROSSFORD OH, 43460-1712, US
Phone (419) 874-4045
Fax (419) 491-3234
Toxanomy
Taxonomy Code 152WC0802X
License State Ohio
License Number OH 5163
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According to our database, Dr. Patrick Henry OD NPI is 1073519849, taxonomy code is 152WC0802X and license number is OH 5163, license state is located at Ohio. Patrick Henry OD physically located at 9640 Olde Us 20, Rossford OH, 43460-1712. NPI Number Patrick Henry OD has the Individual type.

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1073519849 NPI number is provided on an as is basis without warranty of any kind. 1073519849 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Henry OD are for informational purposes only.