John A Gazaway, OD

NPI #1114011913 in Laurie, Missouri

Provider Information

NPI Number: 1114011913
Entity Type: Individual
Name: John A Gazaway, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 3, 2006
Last Updated: Sep 1, 2010

Practice Location

Address: 138 S. MAIN
Address 2: SUITE C
City: Laurie
State: Missouri
ZIP Code: 65038
Phone: (573) 374-5222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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