John T Gudmundson

NPI #1275835274 in Des Peres, Missouri

Provider Information

NPI Number: 1275835274
Entity Type: Organization
Organization Name: John T Gudmundson
Primary Specialty: Optometrist
Enumeration Date: Nov 23, 2010
Last Updated: Nov 23, 2010

Practice Location

Address: 13455 MANCHESTER RD
City: Des Peres
State: Missouri
ZIP Code: 63131-1711
Phone: (314) 822-4423

Authorized Official

Name: DR. JOHN T GUDMUNDSON, OD
Title: DOCTOR
Phone: (636) 390-3999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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