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Individual

DR. VERNON EDWARD FALKENHAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1001 N PINE ST, ROLLA, MO 65401-2824
(573) 364-1773
(573) 341-3945
Mailing address
1001 N PINE ST, PO BOX 310, ROLLA, MO 65401-2824
(573) 364-1773
(573) 341-3945

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2065
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310208004
MO
Enumeration date
11/16/2007
Last updated
11/16/2007
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