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Morio Miyamoto, O.D. Valid NPI

Individual provider · Corneal and Contact Management Optometrist · Saint Louis, MO

NPI
1588722748
Type
Individual (Type 1)
Primary specialty
Corneal and Contact Management Optometrist (Optometrist)
Specialty group
Eye and Vision Services Providers
Taxonomy code
152WC0802X
License number
T2320 (MO)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-12-04
Last updated
2008-09-18
Practice location
720 Olive St, Suite 420
Saint Louis, MO 63101-2338
(314) 231-0581

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