DR. Daniel Carl Pridemore, O.D.

NPI #1104189877 in West Allis, Wisconsin

Provider Information

NPI Number: 1104189877
Entity Type: Individual
Name: DR. Daniel Carl Pridemore, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 19, 2012
Last Updated: Jun 19, 2012

Practice Location

Address: 2761 S 108TH ST
City: West Allis
State: Wisconsin
ZIP Code: 53227-3232
Phone: (414) 321-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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