Individual
DR. LINDA ROSE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002019564
MO
152WP0200X
Pediatric Optometrist
2002019564
MO
152WV0400X
Vision Therapy Optometrist
2002019564
MO
Other
Enumeration date
08/23/2006
Last updated
06/10/2020
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