Organization
PROEYECARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA KENT (CLINIC ADMINISTRATOR)
(651) 645-3997
Entity
Organization
Contact information
Practice address
1570 CONCORDIA AVE, SUITE 202, SAINT PAUL, MN 55104-5338
(651) 645-3997
(651) 641-7207
Mailing address
1570 CONCORDIA AVE, SUITE 202, SAINT PAUL, MN 55104-5338
(651) 645-3997
(651) 641-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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