Individual
JEFF BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
505 E WALNUT ST, BOONVILLE, MO 65233-1665
(660) 882-2444
(660) 882-7976
Mailing address
505 E WALNUT ST, BOONVILLE, MO 65233-1665
(660) 882-2444
(660) 882-7976
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2004017361
MO
Other
Enumeration date
08/22/2005
Last updated
09/09/2008
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