Daniel K Gullekson OD

NPI 1053308767 - Optometrist - 152W00000X

NPI Details
NPI 1053308767
Gender Male
Enumeration Date 09/29/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
6900 ALDEN DR
90 MDOS SGOAO
FE WARREN AFB WY, 82005-3906, US
Phone (307) 773-2565
Fax
Business Location
6900 ALDEN DR
90 MDOS SGOAO
FE WARREN AFB WY, 82005-3906, US
Phone (307) 773-2565
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 05658T
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According to our database, Daniel K Gullekson OD NPI is 1053308767, taxonomy code is 152W00000X and license number is 05658T, license state is located at Texas. Daniel K Gullekson OD physically located at 6900 Alden Dr, Fe Warren Afb WY, 82005-3906. NPI Number Daniel K Gullekson OD has the Individual type.

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1053308767 NPI number is provided on an as is basis without warranty of any kind. 1053308767 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel K Gullekson OD are for informational purposes only.