Individual
E F MCDONALD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
430 W INDEPENDENCE ST, JACKSON, MO 63755-1203
(573) 243-8732
(573) 243-9620
Mailing address
430 W INDEPENDENCE ST, JACKSON, MO 63755-1203
(573) 243-8732
(573) 243-9620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02649
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312159205
—
MO
Enumeration date
06/03/2006
Last updated
07/07/2011
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