Individual
DALE DAVID LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 HEVER KNOLL, LOCH LLOYD, MO 64012
(816) 322-1052
Mailing address
30 HEVER KNOLL, LOCH LLOYD, MO 64012
(816) 322-1052
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R4200
MO
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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