Organization
HANNIBAL REGIONAL HOSPITAL
Active
Other names
Hannibal Regional Medical Group Vision Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J. DIX (CFO)
(573) 248-1300
Entity
Organization
Contact information
Practice address
175 SHINN LN, HANNIBAL, MO 63401-6754
(573) 406-5730
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 248-5661
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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