Mark Laton Bettencourt O.D.

NPI 1144214891 - Optometrist - 152W00000X

NPI Details
NPI 1144214891
Gender Male
Enumeration Date 09/08/2005
Last Updated 07/21/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1405 W US HIGHWAY 24
WAMEGO KS, 66547-1256, US
Phone (785) 456-8900
Fax (785) 456-8902
Business Location
1405 W US HIGHWAY 24
WAMEGO KS, 66547-1256, US
Phone (785) 456-8900
Fax (785) 456-8902
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1234-2
Remove 1144214891 NPI Number
 

According to our database, Dr. Mark Laton Bettencourt O.D. NPI is 1144214891, taxonomy code is 152W00000X and license number is 1234-2, license state is located at Kansas. Mark Laton Bettencourt O.D. physically located at 1405 W Us Highway 24, Wamego KS, 66547-1256. NPI Number Mark Laton Bettencourt O.D. has the Individual type.

Sponsored links

1144214891 NPI number is provided on an as is basis without warranty of any kind. 1144214891 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Laton Bettencourt O.D. are for informational purposes only.