Keith R Moulds Od Pc

NPI 1275516155 - Optometrist - 152W00000X

NPI Details
NPI 1275516155
Enumeration Date 11/23/2005
Last Updated 05/30/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KEITH R KEITH
Position PRESIDENT
Phone (616) 784-8700
Fax (616) 784-8708
Practice Location
4643 ALPINE AVE NW
SUITE A
COMSTOCK PARK MI, 49321-8179, US
Phone (616) 784-8700
Fax (616) 784-8708
Business Location
4643 ALPINE AVE NW
SUITE A
COMSTOCK PARK MI, 49321-8179, US
Phone (616) 784-8700
Fax (616) 784-8708
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004021
Remove 1275516155 NPI Number
 

According to our database, Keith R Moulds Od Pc NPI is 1275516155, taxonomy code is 152W00000X and license number is 4901004021, license state is located at Michigan. Keith R Moulds Od Pc physically located at 4643 Alpine Ave Nw, Comstock Park MI, 49321-8179. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1275516155 NPI number is provided on an as is basis without warranty of any kind. 1275516155 is maintained by the National Plan & Provider Enumeration System. The contents of Keith R Moulds Od Pc are for informational purposes only.