Individual
DR. ANDREW PUDJOWARGONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2021 N RAINBOW BLVD STE 100, LAS VEGAS, NV 89108-7098
(702) 452-2020
Mailing address
46 PENMARRIC PLACE, TORONTO, ONTARIO M1V4E-6
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
980
NV
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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