SHANNON LEIGH DEITCH OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1275029647- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 13900 E US HIGHWAY 40 STE A, INDEPENDENCE, MO, 640555877
- Phone
- (816) 478-0500
Specialties & Taxonomies
Optometrist
Primary License: MO #2018024721