Rose Marie Drake O.D.

NPI 1679631808 - Optometrist - 152W00000X

NPI Details
NPI 1679631808
Gender Female
Enumeration Date 12/04/2006
Last Updated 05/20/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1400 S LIMIT AVE
SPACE 75 STATE FAIR SHOPPING CENTER
SEDALIA MO, 65301-5116, US
Phone (660) 827-3140
Fax (660) 827-5204
Business Location
1400 S LIMIT AVE
SEDALIA MO, 65301-5118, US
Phone (660) 827-3140
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Missouri
License Number T02790
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According to our database, Rose Marie Drake O.D. NPI is 1679631808, taxonomy code is 152W00000X and license number is T02790, license state is located at Missouri. Rose Marie Drake O.D. physically located at 1400 S Limit Ave, Sedalia MO, 65301-5116. NPI Number Rose Marie Drake O.D. has the Individual type.

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1679631808 NPI number is provided on an as is basis without warranty of any kind. 1679631808 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Marie Drake O.D. are for informational purposes only.