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Nathan Dederman, OD, FAAO
NPI 1174005243 · on the registry since 2018
Practice
- Address
- 4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473 - Phone
- (505) 249-9251
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri