Individual
DR. ERIC RAFAEL GUZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
USA MEDDAC/CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Mailing address
USA MEDDAC/ ATTN CREDENTIALS, 11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-4025
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
514
PR
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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