Individual
MAGGIE A CARDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
130882
OH
207W00000X
Ophthalmology Physician
Primary
2018008043
MO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
130882
OH
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
2018008043
MO
Other
Enumeration date
03/21/2013
Last updated
11/20/2018
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