Individual
DR. AIDA MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4100 GOSS RD., FOX ARMY HEALTH CENTER/OPT, REDSTONE ARSENAL, AL 35809-7000
(256) 955-8888
(256) 955-6060
Mailing address
4100 GOSS ROAD, FOX ARMY HEALTH CENTER ATTN:MCXW-NOPS, REDSTONE ARSENAL, AL 35809-7000
(256) 955-6492
(256) 842-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-519-TA-687
AL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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