DR. Larry Bussanmas, O.D.
NPI #1922295419 in Clovis, New Mexico
Provider Information
- NPI Number
- 1922295419
- Entity Type
- Individual
- Name
- DR. Larry Bussanmas, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Sep 27, 2007
- Last Updated
- Sep 27, 2007
Practice Location
- Address
- 3728 N PRINCE ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-9744
- Phone
- (505) 742-0994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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