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Individual

DR. DAVID PAUL PRANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
16978 MANCHESTER RD, WILDWOOD, MO 63040-1200
(636) 273-6336
(636) 273-9172
Mailing address
16978 MANCHESTER RD, WILDWOOD, MO 63040-1200
(636) 273-6336
(636) 273-9172

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO3447
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318816204
MO
Enumeration date
06/08/2006
Last updated
08/16/2010
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