DR. Dirk F Massie, OD

NPI #1972510345 in Swansea, Illinois

Provider Information

NPI Number: 1972510345
Entity Type: Individual
Name: DR. Dirk F Massie, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 1, 2006
Last Updated: Aug 27, 2012

Practice Location

Address: 4111 N ILLINOIS ST
City: Swansea
State: Illinois
ZIP Code: 62226-7609
Phone: (618) 234-3053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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