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NPI Code Detail

MEDICARE: GREGORY A RAMER O.D.

MEDICARE: GREGORY A RAMER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist2679AR

General Provider Information

NPI Number : 1821345562
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY A RAMER O.D.
Provider Business Mailing Address
First Line : 1629 AIRPORT RD STE C
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-8069
Country : US
Telephone Number : 501-767-0602
Fax Number :
Provider Business Practice Location Address
First Line : 1629 AIRPORT RD STE C
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-8069
Country : US
Telephone Number : 501-767-0602
Fax Number : 501-767-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 08/13/2012

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