ELIZABETH NOEL DISTEFANO OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1639458276- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 42 MCGINNIS DR, WAYNE, WV, 255709553
- Phone
- (304) 272-5136
- Fax
- (304) 272-6261
Specialties & Taxonomies
Optometrist
License: VA #0618002273
Optometrist
Primary License: WV #2045-IOD