Provider First Line Business Practice Location Address:
4061 HWY PP SUITE 1
Provider Second Line Business Practice Location Address:
MELTON EYE CARE ASSOCIATES
Provider Business Practice Location Address City Name:
POPLAR BLUFF
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-778-9143
Provider Business Practice Location Address Fax Number:
573-778-9164
Provider Enumeration Date:
05/12/2006