Individual
DANIEL WALLACE ALLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
125 N 13TH ST, CENTERVILLE, IA 52544-1705
(641) 437-4099
(641) 437-0512
Mailing address
2445 BROADWAY ST, QUINCY, IL 62301-3257
(217) 214-0299
(217) 641-0028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
081392
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043668700
—
IA
Enumeration date
06/02/2016
Last updated
03/17/2018
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