Organization
PETE WARDELL O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE WARDELL O.D. (MANAGER)
(318) 332-6171
Entity
Organization
Contact information
Practice address
104 CHINQUAPIN CIR, NATCHITOCHES, LA 71457-6278
(318) 332-6171
Mailing address
104 CHINQUAPIN CIR, NATCHITOCHES, LA 71457-6278
(318) 332-6171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1419-543T
LA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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