Justin E Sandholm O.D.

NPI 1023161791 - Optometrist - 152W00000X

NPI Details
NPI 1023161791
Gender Male
Enumeration Date 01/18/2007
Last Updated 06/24/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
UNIT 5142
APO AP, 96368-5142, US
Phone 011816117302947
Business Location
PSC 80 BOX 20617
APO AP, 96367-0091, US
Taxonomy Code 152W00000X
License State California
License Number 11738
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According to our database, Dr. Justin E Sandholm O.D. NPI is 1023161791, taxonomy code is 152W00000X and license number is 11738, license state is located at California. Justin E Sandholm O.D. physically located at 18th Medical Group, Apo AP, 96368-5142. NPI Number Justin E Sandholm O.D. has the Individual type.

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1023161791 NPI number is provided on an as is basis without warranty of any kind. 1023161791 is maintained by the National Plan & Provider Enumeration System. The contents of Justin E Sandholm O.D. are for informational purposes only.