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Individual

DR. ERIC WAYNE SELVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006529P
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01743628
PA
Enumeration date
04/07/2006
Last updated
03/28/2018
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