Carla Deann Shoults O.D.

NPI 1164602371 - Optometrist - 152W00000X

NPI Details
NPI 1164602371
Gender Female
Enumeration Date 11/06/2007
Last Updated 08/22/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
3107 GOLDENROD AVE
GILLETTE WY, 82716-2287, US
Phone (307) 689-5798
Fax
Business Location
2300 S DOUGLAS HWY
GILLETTE WY, 82718-5420, US
Phone (307) 685-8108
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Wyoming
License Number 317T
Remove 1164602371 NPI Number
 

According to our database, Carla Deann Shoults O.D. NPI is 1164602371, taxonomy code is 152W00000X and license number is 317T, license state is located at Wyoming. Carla Deann Shoults O.D. physically located at 3107 Goldenrod Ave, Gillette WY, 82716-2287. NPI Number Carla Deann Shoults O.D. has the Individual type.

Sponsored links

1164602371 NPI number is provided on an as is basis without warranty of any kind. 1164602371 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Deann Shoults O.D. are for informational purposes only.