Individual
DR. MARTI GAYE WAIGANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3901 S PROVIDENCE RD, B, COLUMBIA, MO 65203-7174
(573) 874-3937
(573) 874-4180
Mailing address
5004 INNSBRUCK WAY, COLUMBIA, MO 65203-6377
(573) 874-3937
(573) 874-4180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02751
MO
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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