DR. Darrell L Tade, O.D.
NPI #1871645614 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1871645614
- Entity Type
- Individual
- Name
- DR. Darrell L Tade, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Feb 3, 2014
Practice Location
- Address
- 760 CAMPBELL LN STE 120
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42104-1085
- Phone
- (270) 781-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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