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Organization

JOSEPH AUDIA, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH AUDIA OD (OPTOMETRIST / PRACTICE OWNER)
(304) 643-2117
Entity
Organization

Contact information

Practice address
1403 E PEARL ST, HARRISVILLE, WV 26362-9759
(304) 643-2117
(304) 643-2116
Mailing address
1403 E PEARL ST, HARRISVILLE, WV 26362-9759
(304) 643-2117
(304) 643-2116

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0781-OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015081300
WV
Enumeration date
08/13/2007
Last updated
05/24/2010
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