Individual
DEEPA MISHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 ROSS CLARK CIR STE 102, DOTHAN, AL 36301-2017
(334) 793-2633
Mailing address
2800 ROSS CLARK CIR, DOTHAN, AL 36301-2040
(334) 793-2211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-E87-TA-C22
AL
Other
Enumeration date
08/10/2021
Last updated
07/21/2022
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