| NPI Details | |
|---|---|
| NPI | 1720227010 |
| Gender | Female |
| Enumeration Date | 02/11/2009 |
| Last Updated | 07/16/2013 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 2500 W A ST SUITE 202 MOSCOW ID, 83843-6000, US |
|
| Phone | (208) 882-4662 |
| Fax | (208) 883-6557 |
| Business Location | |
|---|---|
| 2500 W A ST SUITE 202 MOSCOW ID, 83843-6000, US |
|
| Phone | (208) 882-4662 |
| Fax | (208) 883-6557 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | Idaho |
| License Number | 100170 |
| Remove 1720227010 NPI Number | |
According to our database, Katherine Michele Baughman Gleason OD, FAAO NPI is 1720227010, taxonomy code is 152W00000X and license number is 100170, license state is located at Idaho. Katherine Michele Baughman Gleason OD, FAAO physically located at 2500 W A St, Moscow ID, 83843-6000. NPI Number Katherine Michele Baughman Gleason OD, FAAO has the Individual type.
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1720227010 NPI number is provided on an as is basis without warranty of any kind. 1720227010 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Michele Baughman Gleason OD, FAAO are for informational purposes only.
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