Garrett Scott Wada OD

NPI 1033172903 - Optometrist - 152W00000X

NPI Details
NPI 1033172903
Gender Male
Enumeration Date 04/10/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
936 S BROOKHURST ST
ANAHEIM CA, 92804-4305, US
Phone (714) 533-2525
Fax (714) 242-9564
Business Location
936 S BROOKHURST ST
ANAHEIM CA, 92804-4305, US
Phone (714) 533-2525
Fax (714) 242-9564
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10097T
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According to our database, Dr. Garrett Scott Wada OD NPI is 1033172903, taxonomy code is 152W00000X and license number is 10097T, license state is located at California. Garrett Scott Wada OD physically located at 936 S Brookhurst St, Anaheim CA, 92804-4305. NPI Number Garrett Scott Wada OD has the Individual type.

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1033172903 NPI number is provided on an as is basis without warranty of any kind. 1033172903 is maintained by the National Plan & Provider Enumeration System. The contents of Garrett Scott Wada OD are for informational purposes only.