Individual
DR. JOHN T. GUDMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13455 MANCHESTER RD, DES PERES, MO 63131-1711
(314) 580-1977
Mailing address
6 FOREST DALE CT, O FALLON, MO 63368-6815
(636) 240-5288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2992
MO
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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