DR. Nathan D Dederman, OD, FAAO

NPI #1174005243 in Fort Leonard Wood, Missouri

Provider Information

NPI Number: 1174005243
Entity Type: Individual
Name: DR. Nathan D Dederman, OD, FAAO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD, FAAO
Enumeration Date: Sep 5, 2018
Last Updated: Jan 12, 2024

Practice Location

Address: 4430 MISSOURI AVE # 1267
City: Fort Leonard Wood
State: Missouri
ZIP Code: 65473-9098
Phone: (505) 249-9251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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