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Organization

JOSEPH AUDIA, OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH AUDIA O.D. (OPTOMETRIST/OWNER)
(304) 782-1005
Entity
Organization

Contact information

Practice address
RT 1 BOX 75-4, SALEM, WV 26426
(304) 782-1005
(304) 782-3303
Mailing address
RT 1 BOX 75-4, SALEM, WV 26426
(304) 782-1005
(304) 782-3303

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0781-OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015081300
WV
Enumeration date
08/20/2007
Last updated
01/28/2011
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