KNIAL R PIPER O.D. P.C.
Managed Care Organizations at Gibson St, West Plains, MO

License number
Missouri TO 2863
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. KNIAL R PIPER O.D.
Title: OPTOMETRIST
Phone: (417) 256-8393
Address
Address
1713 Gibson St, West Plains, MO 65775
National Provider ID: 1386032258
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KNIAL R. PIPER O.D., PC

1713 Gibson Ave, West Plains, MO 65775

Registration:
Dec 17, 2001
State ID:
P00503427
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Knial R Piper,1713 Gibson Ave, West Plains, MO 65775 (Physical)

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