DR. Dallas Dustin Fitzgerald, O.D.

NPI #1396716619 in Maryville, Missouri

Provider Information

NPI Number: 1396716619
Entity Type: Individual
Name: DR. Dallas Dustin Fitzgerald, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 27, 2006
Last Updated: May 28, 2008

Practice Location

Address: 1605 S MAIN ST
Address 2: WAL-MART VISION CENTER
City: Maryville
State: Missouri
ZIP Code: 64468-2611
Phone: (660) 562-0215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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