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Individual

DR. TIMOTHY D. FRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
207 GLENN AVE, WASHINGTON COURT HOUSE, OH 43160-1711
(740) 335-2020
(740) 335-1025
Mailing address
207 GLENN AVE, WASHINGTON COURT HOUSE, OH 43160-1711
(740) 335-2020
(740) 335-1025

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5472 T2384
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2506550
OH
Enumeration date
07/18/2005
Last updated
01/23/2013
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