Organization
ANGELA HOLDEN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA JO HOLDEN OD (OPTOMOTRIST)
(417) 967-1868
Entity
Organization
Contact information
Practice address
1433 S SAM HOUSTON BLVD, HOUSTON, MO 65483
(417) 967-1868
(417) 967-1870
Mailing address
1130 N OAKLAND AVE, MOUNTAIN GROVE, MO 65711
(417) 926-7480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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