EDMUND LEO PRENDERGAST

SUMMERSVILLE, WV
NPI1134165251
Professional NameEDDIE L PRENDERGAST
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WV  666D)
Enumeration Date2006-06-20
Last Update Date2022-08-18
Business Address
Dr. EDMUND LEO PRENDERGAST OD
651 WATER ST
SUMMERSVILLE, WV 26651
Phone number: 304-872-5678
Mailing Address
Dr. EDMUND LEO PRENDERGAST OD
PO BOX 69
CAMDEN ON GAULEY, WV 26208-0069
Phone number: 304-226-5725