Individual
DR. JOHN EDWARD DRENON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3403 W 10TH ST, SEDALIA, MO 65301-2112
(660) 826-7116
Mailing address
3403 W 10TH ST, SEDALIA, MO 65301-2112
(660) 826-7116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02733
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312469604
—
MO
Enumeration date
07/27/2005
Last updated
02/08/2016
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