G Derril Gwinner Od LLC

NPI #1144495490 in Ellsworth, Kansas

Provider Information

NPI Number: 1144495490
Entity Type: Organization
Organization Name: G Derril Gwinner Od LLC
Primary Specialty: Optometrist
Enumeration Date: Apr 28, 2008
Last Updated: Apr 28, 2008

Practice Location

Address: 801 E 3RD ST
City: Ellsworth
State: Kansas
ZIP Code: 67439-4224
Phone: (785) 472-3272

Authorized Official

Name: MR. G DERRIL GWINNER, OD
Title: OPTOMETRIST
Phone: (785) 472-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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