David Bliese

NPI #1336200617 in Jackson, Missouri

Provider Information

NPI Number: 1336200617
Entity Type: Individual
Name: David Bliese
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Dec 12, 2006
Last Updated: Oct 20, 2016

Practice Location

Address: 2317 BAINBRIDGE RD
City: Jackson
State: Missouri
ZIP Code: 63755-2343
Phone: (573) 243-6719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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