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Organization

ADVANCED EYE CARE CLINIC PC

Active
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Organization

ADVANCED EYE CARE CLINIC PC

Active
Other names
Advanced Eye Clinic PC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID CARLYLE ELDRED OD (OWNER)
(307) 638-2020
Entity
Organization

Contact information

Practice address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 638-2020
(307) 634-0939
Mailing address
2029 BLUEGRASS CIR, CHEYENNE, WY 82009-7368
(307) 638-2020
(307) 634-0939

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
103T
WY
261QH0100X
Health Service Clinic/Center
Primary
250T
WY

Other

Enumeration date
02/22/2007
Last updated
08/10/2011
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