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Individual

GEOFFREY ALAN SPEARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1008 LOCUST ST, MURPHYSBORO, IL 62966-2155
(618) 687-2922
(618) 684-4580
Mailing address
PO BOX 1419, MURPHYSBORO, IL 62966-1419
(618) 687-2922
(618) 684-4580

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.007873
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
371217631
FEDERAL TAX ID
IL
Enumeration date
12/05/2006
Last updated
03/27/2008
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