Organization
DRS. FAVEDE & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON MICHAEL FAVEDE O.D. (PARTNER)
(740) 635-0814
Entity
Organization
Contact information
Practice address
100 THIRD STREET, BRIDGEPORT, OH 43912-1605
(740) 635-0814
(740) 635-2521
Mailing address
100 THIRD ST, BRIDGEPORT, OH 43912-1605
(740) 635-0814
(740) 635-2521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
12/09/2008
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