Nathan D Dederman is a Optometrist based in Fort Leonard Wood, MO. Nathan D Dederman practices in Fort Leonard Wood, MO and has the professional credentials of OD,FAAO. The NPI Number for Nathan D Dederman is 1174005243 and holds a License No. 3451 (Missouri).
The current practice location address for Nathan D Dederman is 4430 Missouri Ave # 1267, Fort Leonard Wood, MO and can be reached out via phone at 505-249-9251.
Identifier | Type | State | Issuer |
---|---|---|---|
10002 | 01 | TX | STATE LICENSE |
3451 | 01 | TN | STATE LICENSE |
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