Floyd Ellis Zastrow OD

NPI 1013041680 - Optometrist - 152W00000X

NPI Details
NPI 1013041680
Gender Male
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
404 W PINE ST
LODI CA, 95240-2048, US
Phone (209) 369-2078
Fax
Business Location
404 W PINE ST
STE #1
LODI CA, 95240-2048, US
Phone (209) 369-2078
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 3269
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According to our database, Dr. Floyd Ellis Zastrow OD NPI is 1013041680, taxonomy code is 152W00000X and license number is 3269, license state is located at California. Floyd Ellis Zastrow OD physically located at 404 W Pine St, Lodi CA, 95240-2048. NPI Number Floyd Ellis Zastrow OD has the Individual type.

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1013041680 NPI number is provided on an as is basis without warranty of any kind. 1013041680 is maintained by the National Plan & Provider Enumeration System. The contents of Floyd Ellis Zastrow OD are for informational purposes only.