Terry S Mangold, OD

NPI #1689671877 in Keyser, West Virginia

Provider Information

NPI Number
1689671877
Entity Type
Individual
Name
Terry S Mangold, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 1, 2005
Last Updated
Aug 7, 2008

Practice Location

Address
1405 CHANDELL ST
Address 2
KEYSER
City
Keyser
ZIP Code
26726-2012
Phone
(304) 788-5961

Specialties & Taxonomy Codes

Specialty
Optometrist

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