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Individual

DR. PETE WARDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
(318) 357-8194
(318) 357-3145
Mailing address
946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
(318) 357-8194
(318) 357-3145

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1419543T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1587443
LA
Enumeration date
06/14/2006
Last updated
04/25/2016
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