Walton Rice OD

NPI 1053419358 - Optometrist - 152W00000X

NPI Details
NPI 1053419358
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2700 POTOMAC MILLS CIR STE 105
WOODBRIDGE VA, 22192-4651, US
Phone (703) 494-0660
Fax (703) 497-4605
Business Location
11103 WEST AVE
SUITE 6
SAN ANTONIO TX, 78213-1370, US
Phone (210) 524-6509
Fax (210) 524-6587
Toxanomy
Taxonomy Code 152W00000X
License State Virginia
License Number 0618001055
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According to our database, Walton Rice OD NPI is 1053419358, taxonomy code is 152W00000X and license number is 0618001055, license state is located at Virginia. Walton Rice OD physically located at 2700 Potomac Mills Cir Ste 105, Woodbridge VA, 22192-4651. NPI Number Walton Rice OD has the Individual type.

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1053419358 NPI number is provided on an as is basis without warranty of any kind. 1053419358 is maintained by the National Plan & Provider Enumeration System. The contents of Walton Rice OD are for informational purposes only.