Organization
ERIN E. GENUA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN E. GENUA O.D. (OPTOMETRIST)
(417) 576-8522
Entity
Organization
Contact information
Practice address
2825 S GLENSTONE AVE, SUITE 200, SPRINGFIELD, MO 65804-3732
(417) 886-1677
Mailing address
4760 S MARY ANN AVE, SPRINGFIELD, MO 65810-1088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2008017923
MO
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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