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MARSHALL DORSETT

Eye and Vision Services Providers Optometrist

Provider NPI: 1427078997

Provider Information:
 MARSHALL  DORSETT 
Gender: M
Not Sole Proprietor

Practice Location:
310 8TH AVE NW STE 503  ABERDEEN, SD 57401-2369 US
Tel: 605-225-2020  Fax: --

Business Mailing Address:
310 8TH AVE NW STE 503  ABERDEEN, SD 57401-2369 US
Tel: 605-225-2020  Fax: --

NPI Information:
NPI: 1427078997
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
SD564

Other Provider Identifiers:

IssuerNumberStateType
9203290SD05



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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