Organization
DESLOGE VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA J SPIKER (OFFICE MANAGER)
(573) 518-0001
Entity
Organization
Contact information
Practice address
1136 N DESLOGE DR STE C, DESLOGE, MO 63601-2900
(573) 518-0001
(573) 518-0081
Mailing address
1136 N DESLOGE DR STE C, DESLOGE, MO 63601-2900
(573) 518-0001
(573) 518-0081
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/29/2008
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