Irina Andrushenko O.D.

NPI 1043311160 - Optometrist - 152W00000X

NPI Details
NPI 1043311160
Gender Female
Enumeration Date 09/25/2006
Last Updated 06/24/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE AZ, 86504-0649, US
Phone (928) 729-8924
Fax (928) 729-8930
Business Location
PO BOX 649
FORT DEFIANCE INDIAN HOSPITAL BOARD, INC.
FORT DEFIANCE AZ, 86504-0649, US
Phone (928) 729-8925
Fax (928) 729-8930
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 13425
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According to our database, Irina Andrushenko O.D. NPI is 1043311160, taxonomy code is 152W00000X and license number is 13425, license state is located at California. Irina Andrushenko O.D. physically located at Corner Of Route N12 And N7, Fort Defiance AZ, 86504-0649. NPI Number Irina Andrushenko O.D. has the Individual type.

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1043311160 NPI number is provided on an as is basis without warranty of any kind. 1043311160 is maintained by the National Plan & Provider Enumeration System. The contents of Irina Andrushenko O.D. are for informational purposes only.