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Organization

DR. DANIEL R. OBERMARK OPTOMETRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL ROBERT OBERMARK O.D. (OPTOMETRIST)
(573) 471-1080
Entity
Organization

Contact information

Practice address
1909 N. WESTWOOD BLVD., POPLAR BLUFF, MO 63901-2807
(573) 785-6717
(573) 785-3561
Mailing address
P.O. BOX 709, SIKESTON, MO 63801-0709
(573) 471-1080
(573) 471-1810

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2935
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318104809
MO
Enumeration date
03/13/2008
Last updated
10/25/2012
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