Individual
ROSE M BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
801 APPLEJACK BLVD, NORTHPORT, AL 35473-3401
(205) 333-0016
(205) 339-6751
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S470TA104
AL
Other
Enumeration date
02/12/2007
Last updated
11/15/2016
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