Individual
DR. ANDREW DAVID PUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, PHD
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6064
OH
152W00000X
Optometrist
Primary
T-228-TA-A55
AL
152W00000X
Optometrist
T2979
OH
Other
Enumeration date
07/06/2011
Last updated
08/12/2016
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