Jonathan Egan Wold OD

NPI 1023092228 - Optometrist - 152W00000X

NPI Details
NPI 1023092228
Gender Male
Enumeration Date 12/01/2005
Last Updated 06/25/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2680 S VAL VISTA DR
#111
GILBERT AZ, 85295-2152, US
Phone (480) 807-0288
Fax (480) 290-7199
Business Location
2680 S VAL VISTA DR
#111
GILBERT AZ, 85295-2152, US
Phone (480) 807-0288
Fax (480) 290-7199
Toxanomy
Taxonomy Code 152W00000X
License State Arizona
License Number 1307
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According to our database, Dr. Jonathan Egan Wold OD NPI is 1023092228, taxonomy code is 152W00000X and license number is 1307, license state is located at Arizona. Jonathan Egan Wold OD physically located at 2680 S Val Vista Dr, Gilbert AZ, 85295-2152. NPI Number Jonathan Egan Wold OD has the Individual type.

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1023092228 NPI number is provided on an as is basis without warranty of any kind. 1023092228 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Egan Wold OD are for informational purposes only.