Chris Deitrick Od PA
NPI #1780773481 in Mountain View, Arkansas
Provider Information
- NPI Number
- 1780773481
- Entity Type
- Organization
- Organization Name
- Chris Deitrick Od PA
- Primary Specialty
- Optometrist - Corneal and Contact Management
- Enumeration Date
- Oct 12, 2006
- Last Updated
- Feb 20, 2008
Practice Location
- Address
- 202 PEABODY ST
- City
- Mountain View
- State
- Arkansas
- ZIP Code
- 72560-1460
- Phone
- (870) 269-3610
Authorized Official
- Name
- MRS. LANETTE LEE
- Title
- OFFICE MANAGER
- Phone
- (870) 269-3610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
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