Individual
STACIA R WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
50 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
(740) 774-4434
(740) 774-4061
Mailing address
50 N PLAZA BLVD, CHILLICOTHE, OH 45601-1757
(740) 774-4434
(740) 774-4061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5666/T2580
OH
Other
Enumeration date
07/20/2006
Last updated
01/22/2015
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