Organization
R.G.PALMER O.D,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL G. PALMER OD (OPTOMETRIST)
(573) 635-1313
Entity
Organization
Contact information
Practice address
323 MONROE ST, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(573) 634-8500
Mailing address
323 MONROE ST, JEFFERSON CITY, MO 65101-3105
(573) 635-1313
(573) 634-8500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2059
MO
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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