Individual
DR. M T ALDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1309 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 279-2339
(816) 279-0110
Mailing address
1309 VILLAGE DR, SAINT JOSEPH, MO 64506-2457
(816) 279-2339
(816) 279-0110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2103
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310043104
—
MO
Enumeration date
06/12/2006
Last updated
02/10/2012
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