Individual
DR. MYRA DENNIS ROSENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1823 5TH ST N, COLUMBUS, MS 39705-2203
(662) 328-5225
Mailing address
1823 5TH ST N, COLUMBUS, MS 39705-2203
(626) 328-5225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
963
MS
Other
Enumeration date
06/07/2013
Last updated
10/11/2018
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