Individual
ALISON MARY BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
407 N STATE ST, DESLOGE, MO 63601-3053
(573) 431-2974
(573) 431-3170
Mailing address
845 CIMARRON CIR, FARMINGTON, MO 63640-2157
(573) 454-2940
(573) 454-2942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009016902
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319346102
—
MO
Enumeration date
06/24/2009
Last updated
04/01/2020
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