Individual
DR. HARRY F. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
227 MAIN ST, SPENCER, WV 25276-0607
(304) 927-5910
Mailing address
PO BOX 607, SPENCER, WV 25276-0607
(304) 927-5910
(304) 927-5918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
680OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149292000
—
WV
Enumeration date
03/16/2006
Last updated
07/08/2007
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