Individual
RICHARD EUGENE MARGERUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
326 N MAIN ST, MOSCOW, PA 18444-9155
(570) 842-2400
Mailing address
326 N MAIN ST, PO BOX 747, MOSCOW, PA 18444-9155
(570) 842-2400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000593
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA288378
—
PA
Enumeration date
09/30/2005
Last updated
09/07/2010
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