DR. Michael Dean Gupton, O.D.

NPI #1740376565 in South Boston, Virginia

Provider Information

NPI Number: 1740376565
Entity Type: Individual
Name: DR. Michael Dean Gupton, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 5, 2006
Last Updated: Jan 23, 2008

Practice Location

Address: 521 WEBSTER ST
City: South Boston
State: Virginia
ZIP Code: 24592-2429
Phone: (434) 374-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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