Mpg LLC

NPI #1962574673 in Staunton, Virginia

Provider Information

NPI Number: 1962574673
Entity Type: Organization
Organization Name: Mpg LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 15, 2006
Last Updated: Jul 11, 2008

Practice Location

Address: 1412 N AUGUSTA ST
City: Staunton
State: Virginia
ZIP Code: 24401
Phone: (540) 885-0006

Authorized Official

Name: DR. MICHAEL P GOWEN SR., OD
Title: OWNER
Phone: (540) 885-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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