Katherine Michele Baughman Gleason OD, FAAO

NPI 1720227010 - Optometrist - 152W00000X

NPI Details
NPI 1720227010
Gender Female
Enumeration Date 02/11/2009
Last Updated 07/16/2013
Entity Type Individual
Active Over 7 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
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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.