Gordon W. Dyer, Llc

NPI 1033303052 - Optometrist - 152W00000X

NPI Details
NPI 1033303052
Enumeration Date 09/03/2007
Last Updated 03/19/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GORDON WAYNE GORDON
Position PRESIDENT
Phone (432) 689-7070
Fax (432) 699-1279
Practice Location
4517 N MIDLAND DR
MIDLAND TX, 79707-3325, US
Phone (432) 689-7070
Fax (432) 699-1279
Business Location
4511 N MIDKIFF RD
MIDLAND TX, 79705-3256, US
Phone (432) 689-7070
Fax (432) 699-1279
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 5490T
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According to our database, Gordon W. Dyer, Llc NPI is 1033303052, taxonomy code is 152W00000X and license number is 5490T, license state is located at Texas. Gordon W. Dyer, Llc physically located at 4517 N Midland Dr, Midland TX, 79707-3325. NPI Number 1033115704 has the healthcare provider type.

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1033303052 NPI number is provided on an as is basis without warranty of any kind. 1033303052 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon W. Dyer, Llc are for informational purposes only.