NPI | 1972989069 |
---|---|
Doing Business As | ERIKA TYDOR OD |
Entity Type | Organization |
Authorized Contact | ERIKA TYDOR Optometrist 314-541-6529 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60293866) |
Enumeration Date | 2015-07-31 |
Last Update Date | 2015-07-31 |