Krall Optometric Prof Llc

NPI 1013049410 - Optometrist - 152W00000X

NPI Details
NPI 1013049410
Enumeration Date 03/12/2007
Last Updated 07/12/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOE JOE
Position OPTOMETRIST
Phone (605) 996-2020
Fax
Practice Location
1415 N SANBORN BLVD
MITCHELL SD, 57301-1015, US
Phone (605) 996-2020
Fax
Business Location
1415 N SANBORN BLVD
MITCHELL SD, 57301-1015, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Krall Optometric Prof Llc NPI is 1013049410, taxonomy code is 152W00000X Krall Optometric Prof Llc physically located at 1415 N Sanborn Blvd, Mitchell SD, 57301-1015. NPI Number 1033115704 has the healthcare provider type.

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1013049410 NPI number is provided on an as is basis without warranty of any kind. 1013049410 is maintained by the National Plan & Provider Enumeration System. The contents of Krall Optometric Prof Llc are for informational purposes only.