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Individual

CRAIG DOCKTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1315 10TH AVE, MOBRIDGE, SD 57601
(605) 845-2932
Mailing address
310 8TH AVE NW STE 503, ABERDEEN, SD 57401-2369
(605) 225-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
492
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9202563
SD
Enumeration date
07/24/2006
Last updated
11/30/2007
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