Individual
ANDREW MICHAEL BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7880 OLD MADISON PIKE, MADISON, AL 35758-1435
(256) 772-8711
(256) 772-8738
Mailing address
PO BOX 207243, DALLAS, TX 75320-7243
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SE02
AL
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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