Individual
MARCIA BRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16637 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 461-6880
(816) 836-5644
Mailing address
16637 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 461-6880
(816) 836-5644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1419-3
KS
152W00000X
Optometrist
Primary
T03197
MO
Other
Enumeration date
09/12/2005
Last updated
07/08/2007
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