Individual
DR. DAVID WAYNE KOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 N 1ST ST BLDG 46, ALTUS AFB, OK 73523-5004
(580) 481-5239
Mailing address
301 N 1ST ST BLDG 46, ALTUS, OK 73523-5004
(580) 481-5239
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002910A
IN
Other
Enumeration date
11/22/2005
Last updated
08/23/2022
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