DR. Raymond Fada JR., O.D.

NPI #1013913094 in Saint Peters, Missouri

Provider Information

NPI Number
1013913094
Entity Type
Individual
Name
DR. Raymond Fada JR., O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jun 23, 2005
Last Updated
Nov 18, 2014

Practice Location

Address
6157 MID RIVERS MALL DR
Address 2
202
ZIP Code
63304-1105
Phone
(636) 926-3647

Specialties & Taxonomy Codes

Specialty
Optometrist

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