JACOBY JOHN DEWALD

WOODWARD, OK
NPI1740591973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2647)
Enumeration Date2010-06-22
Last Update Date2012-09-21
Business Address
Dr. JACOBY JOHN DEWALD OD
1418 MAIN ST
WOODWARD, OK 73801-3004
Phone number: 580-256-6699
Mailing Address
Dr. JACOBY JOHN DEWALD OD
PO BOX 2484
WOODWARD, OK 73802-2484
Phone number: 580-256-6699