Colton Dale Wicks O.D.

NPI 1801174537 - Optometrist - 152W00000X

NPI Details
NPI 1801174537
Gender Male
Enumeration Date 07/29/2011
Last Updated 07/29/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
15 EAST PLZ
PARIS TX, 75460-5841, US
Phone (903) 784-6649
Fax
Business Location
15 EAST PLZ
PARIS TX, 75460-5841, US
Phone (903) 784-6649
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 7734T
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According to our database, Dr. Colton Dale Wicks O.D. NPI is 1801174537, taxonomy code is 152W00000X and license number is 7734T, license state is located at Texas. Colton Dale Wicks O.D. physically located at 15 East Plz, Paris TX, 75460-5841. NPI Number Colton Dale Wicks O.D. has the Individual type.

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1801174537 NPI number is provided on an as is basis without warranty of any kind. 1801174537 is maintained by the National Plan & Provider Enumeration System. The contents of Colton Dale Wicks O.D. are for informational purposes only.