Individual
DR. DAVID WILLIAM FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
127 MAIN ST, WELLSBORO, PA 16901-1414
(570) 724-4756
Mailing address
127 MAIN ST, WELLSBORO, PA 16901-1414
(570) 724-4756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE-005935 T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008721660001
—
PA
Enumeration date
07/04/2006
Last updated
01/29/2015
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