Organization
DOUGLAS B PEARSON OD
Active
Parent organization
DOUGLAS B PEARSON OD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOUGLAS B PEARSON OD
Authorized official
DR. DOUGLAS PEARSON (OWNER)
(918) 825-6144
Entity
Organization
Contact information
Practice address
11 S ROWE ST, PRYOR, OK 74361-4626
(918) 825-6144
(918) 825-5374
Mailing address
11 S ROWE ST, PRYOR, OK 74361-4626
(918) 825-6144
(918) 825-5374
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1021
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761440A
—
OK
Enumeration date
07/07/2010
Last updated
07/07/2010
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