Bolivar Eye Specialty Center

NPI #1750460382 in Bolivar, Missouri

Provider Information

NPI Number
1750460382
Entity Type
Organization
Organization Name
Bolivar Eye Specialty Center
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Nov 3, 2006
Last Updated
Jan 31, 2013

Practice Location

Address
1630 KILLINGSWORTH AVE
Address 2
SUITE 2B
ZIP Code
65613-2282
Phone
(417) 777-2222

Authorized Official

Name
DR. CALEB RANDALL SAWYER, M.D.
Title
SOLE SHARE HOLDER
Phone
(417) 777-2222

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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