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Organization

LARRY E. WILLIAMS, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY EARL WILLIAMS OD (OPTOMETRIST)
(304) 472-9160
Entity
Organization

Contact information

Practice address
10 AMALIA DR, SUITE C1, BUCKHANNON, WV 26201-2271
(304) 472-9160
Mailing address
10 AMALIA DR, SUITE C1, BUCKHANNON, WV 26201-2271
(304) 472-9160

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
683OD
WV

Other

Enumeration date
12/19/2007
Last updated
12/19/2007
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