Individual
DR. GRANT MCPHERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
107 W MAIN ST, NEW LONDON, IA 52645-1335
(319) 367-5313
(319) 367-0220
Mailing address
PO BOX 159, NEW LONDON, IA 52645-0159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
099631
IA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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