DR. Fred H Mothershed, O.D.

NPI #1417950262 in Tupelo, Mississippi

Provider Information

NPI Number: 1417950262
Entity Type: Individual
Name: DR. Fred H Mothershed, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 24, 2005
Last Updated: Jul 26, 2011

Practice Location

Address: 3353 N GLOSTER ST
City: Tupelo
State: Mississippi
ZIP Code: 38804-9735
Phone: (662) 844-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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