Organization
DR. KIM E. MAURO, OD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM E MAURO OD (OPTOMETRIST)
(804) 714-7272
Entity
Organization
Contact information
Practice address
11290 W BROAD ST, GLEN ALLEN, VA 23060-5815
(804) 714-7272
Mailing address
11916 RUTGERS DR, RICHMOND, VA 23233-8402
(804) 714-7272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
VA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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