Leon C Peterson O.D.

NPI 1013943828 - Optometrist - 152W00000X

NPI Details
NPI 1013943828
Gender Male
Enumeration Date 06/23/2006
Last Updated 03/13/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
501 S WOODRUFF AVE
IDAHO FALLS ID, 83401-5200, US
Phone (208) 522-6271
Fax (208) 522-7217
Business Location
501 S WOODRUFF AVE
IDAHO FALLS ID, 83401-5200, US
Phone (208) 522-6271
Fax (208) 522-7217
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP535
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According to our database, Dr. Leon C Peterson O.D. NPI is 1013943828, taxonomy code is 152W00000X and license number is ODP535, license state is located at Idaho. Leon C Peterson O.D. physically located at 501 S Woodruff Ave, Idaho Falls ID, 83401-5200. NPI Number Leon C Peterson O.D. has the Individual type.

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1013943828 NPI number is provided on an as is basis without warranty of any kind. 1013943828 is maintained by the National Plan & Provider Enumeration System. The contents of Leon C Peterson O.D. are for informational purposes only.