Organization
ROLLA OPHTHALMOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IFEANYI SAMUEL ORIZU SR. M.D (PRESIDENT)
(573) 364-5600
Entity
Organization
Contact information
Practice address
720 S BISHOP AVE, ROLLA, MO 65401-4317
(573) 364-5600
Mailing address
720 S BISHOP AVE, ROLLA, MO 65401-4317
(573) 364-5600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2000158329
MO
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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