Individual
MR. DARYL SCOTT BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4680 KING ST, ALEXANDRIA, VA 22302-1215
(703) 671-1313
Mailing address
4680 KING ST, ALEXANDRIA, VA 22302-1215
(703) 671-1313
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3103
VA
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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