DR. Keith Ronald Moulds, OD
NPI #1487645065 in Comstock Park, Michigan
Provider Information
- NPI Number
- 1487645065
- Entity Type
- Individual
- Name
- DR. Keith Ronald Moulds, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Nov 2, 2005
- Last Updated
- May 30, 2012
Practice Location
- Address
- 4643 ALPINE AVE NW
- Address 2
- A
- City
- Comstock Park
- State
- Michigan
- ZIP Code
- 49321-8179
- Phone
- (616) 784-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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