Individual
WESLEY BENJAMIN RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1441 E SUNSHINE ST, SPRINGFIELD, MO 65804-1242
(417) 886-2020
Mailing address
1208 PEBBLES LN, TAHLEQUAH, OK 74464-4256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2023021100
MO
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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