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Organization

DIANA J DONCH OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANA JO DONCH O.D. (OPTOMETRIST)
(814) 425-3937
Entity
Organization

Contact information

Practice address
146 W ADAMS ST, COCHRANTON, PA 16314-8640
(814) 425-3937
(814) 425-3378
Mailing address
146 W ADAMS ST, PO BOX 392, COCHRANTON, PA 16314-8640
(814) 425-3937
(814) 425-3378

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000457
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019511200001
PA
Enumeration date
01/05/2010
Last updated
11/18/2010
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