Individual
DR. DANNY D NESTLEROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
507 E CLEVELAND AVE, MONETT, MO 65708-1750
(417) 235-5250
(417) 235-5259
Mailing address
507 E CLEVELAND AVE, PO BOX 351, MONETT, MO 65708-1750
(417) 235-5250
(417) 235-5259
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310083100
—
MO
Enumeration date
01/24/2006
Last updated
06/30/2010
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