Cole Boboth

NPI 1598040644 - Optometrist - 152W00000X

NPI Details
NPI 1598040644
Gender Male
Enumeration Date 10/19/2011
Last Updated 09/10/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
403 N EUCLID ST
GRANDVIEW WA, 98930-9407, US
Phone (509) 882-2650
Fax (509) 882-4225
Business Location
403 N EUCLID ST
GRANDVIEW WA, 98930-9407, US
Phone (509) 882-2650
Fax (509) 882-4225
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD60469574
Remove 1598040644 NPI Number
 

According to our database, Cole Boboth NPI is 1598040644, taxonomy code is 152W00000X and license number is OD60469574, license state is located at Washington. Cole Boboth physically located at 403 N Euclid St, Grandview WA, 98930-9407. NPI Number Cole Boboth has the Individual type.

Sponsored links

1598040644 NPI number is provided on an as is basis without warranty of any kind. 1598040644 is maintained by the National Plan & Provider Enumeration System. The contents of Cole Boboth are for informational purposes only.