Organization
HALEY & ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE L HALEY O.D. (OPTOMETRIST/MEMBER)
(573) 329-4860
Entity
Organization
Contact information
Practice address
143 REPLACEMENT AVE, BLDG 487, FORT LEONARD WOOD, MO 65473-9092
(573) 329-4860
(573) 329-4864
Mailing address
PO BOX 588, FORT LEONARD WOOD, MO 65473-0588
(573) 329-4860
(573) 329-4864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2001021461
MO
Other
Enumeration date
10/13/2011
Last updated
01/15/2013
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