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V G Green PC INC

NPI #1639388606 in Rolla, Missouri

Provider Information

NPI Number
1639388606
Entity Type
Organization
Organization Name
V G Green PC INC
Primary Specialty
Optometrist
Enumeration Date
May 22, 2007
Last Updated
Feb 1, 2008

Practice Location

Address
1211 HAUCK DR
City
Rolla
State
Missouri
ZIP Code
65401-4900
Phone
(573) 364-6300

Authorized Official

Name
DR. VERNON GARY GREEN, OD
Title
OWNER
Phone
(573) 364-6300

Specialties & Taxonomy Codes

Specialty
Optometrist

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