NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013194067 |   |   |   | INTERNATIONAL EYECARE CENTER, INC | 1702 N BALTIMORE ST | KIRKSVILLE | MO | 635012485 |
1467850073 |   |   |   | MIDWEST PHYSICIAN SERVICES, LLC | 1702 N BALTIMORE ST | KIRKSVILLE | MO | 635012485 |
1164471462 | BRAND | RONALD | A |   | 1702 N. BALTIMORE ST. | KIRKSVILLE | MO | 635012485 |
1316586985 | GUINN | TARA | ROSE |   | 211 E BROADWAY | ALTON | IL | 620026220 |