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Organization

DR. BRUCE A. PERRY OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE A PERRY O.D. (OPTOMETRIST /OWNER)
(205) 932-5286
Entity
Organization

Contact information

Practice address
124 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-5286
Mailing address
124 16TH ST NE, FAYETTE, AL 35555-1340
(205) 932-5286

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S449TA072
AL

Other

Enumeration date
03/11/2008
Last updated
03/13/2008
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