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Individual

MATTHEW RYAN SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1796 N ZARAGOZA RD, EL PASO, TX 79936-7909
(915) 352-2589
Mailing address
1796 N ZARAGOZA RD, EL PASO, TX 79936-7909
(915) 352-2589

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007543
NY

Other

Enumeration date
07/05/2010
Last updated
09/05/2016
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