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Individual

DR. MARSHALL VERNON MUNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03361
MO
152WC0802X
Corneal and Contact Management Optometrist
TO3361
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245285543
MEDICARE GROUP NPI
MO
01
134570018
MEDICARE PTAN FOR QMG
MO
05
318910718
MO
01
410045181
RAILROAD MEDICARE
MO
01
990000642
MEDICARE GROUP
MO
01
CI3223
RAILROAD MEDICARE GROUP
MO
Enumeration date
06/05/2006
Last updated
05/18/2018
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