Individual
DR. EDWARD OMER OBERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
222 W MAIN ST, WASHINGTON, MO 63090-2123
(636) 239-7144
(636) 239-6266
Mailing address
222 W MAIN ST, WASHINGTON, MO 63090-2123
(636) 239-7144
(636) 239-6266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03188
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317927903
—
MO
Enumeration date
07/05/2006
Last updated
07/08/2007
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