Organization
JOHN T GUDMUNDSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T GUDMUNDSON OD (DOCTOR)
(636) 390-3999
Entity
Organization
Contact information
Practice address
13455 MANCHESTER RD, DES PERES, MO 63131-1711
(314) 822-4423
(314) 822-5541
Mailing address
901 E 3RD ST, WASHINGTON, MO 63090-3010
(636) 390-3999
(636) 390-3959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02992
MO
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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