Mark Rodammer Od Pc

NPI 1104884477 - Optometrist - 152W00000X

NPI Details
NPI 1104884477
Enumeration Date 05/03/2006
Last Updated 12/11/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TINA M TINA
Position CREDENTIALING SPECIALIST
Phone (252) 442-0802
Fax (252) 442-2820
Practice Location
511 BELFIELD DR
EMPORIA VA, 23847-1217, US
Phone (252) 442-0802
Fax (252) 442-2820
Business Location
PO BOX 7396
ROCKY MOUNT NC, 27804, US
Phone (252) 442-0802
Fax (252) 442-2820
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Mark Rodammer Od Pc NPI is 1104884477, taxonomy code is 152W00000X Mark Rodammer Od Pc physically located at 511 Belfield Dr, Emporia VA, 23847-1217. NPI Number 1033115704 has the healthcare provider type.

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1104884477 NPI number is provided on an as is basis without warranty of any kind. 1104884477 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Rodammer Od Pc are for informational purposes only.