Individual
WILLARD J STAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
389 N ELLSWORTH AVE, SALEM, OH 44460-2805
(330) 332-1200
(330) 332-1200
Mailing address
389 N ELLSWORTH AVE, SALEM, OH 44460-2805
(330) 332-1200
(330) 332-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2549/T972
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3409444920
BUREAU OF WORKERS COMP
OH
05
—
8368332
—
OH
Enumeration date
10/01/2006
Last updated
03/23/2008
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