Individual
DR. LARRY K SIDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 COSHOCTON AVE, MOUNT VERNON, OH 43050-2628
(740) 392-4000
Mailing address
1141 N REEDSBURG RD, WOOSTER, OH 44691-9331
(330) 749-0415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3373 T970
OH
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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