DR. Susannah Marie Standal, O.D.

NPI #1588723019 in Durango, Colorado

Provider Information

NPI Number
1588723019
Entity Type
Individual
Name
DR. Susannah Marie Standal, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 8, 2006
Last Updated
Dec 28, 2007

Practice Location

Address
1165 S CAMINO DEL RIO STE 100
ZIP Code
81303-6824
Phone
(970) 247-8762

Specialties & Taxonomy Codes

Specialty
Optometrist

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