Michael Edward Derzay OD

NPI 1477621191 - Optometrist - 152W00000X

NPI Details
NPI 1477621191
Gender Male
Enumeration Date 12/01/2006
Last Updated 09/27/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
235 E ROWAN
SUITE #107
SPOKANE WA, 99207-1240, US
Phone (509) 484-5710
Fax (509) 487-1000
Business Location
235 E ROWAN
SUITE #107
SPOKANE WA, 99207-1240, US
Phone (509) 484-5710
Fax (509) 487-1000
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD00003454
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According to our database, Dr. Michael Edward Derzay OD NPI is 1477621191, taxonomy code is 152W00000X and license number is OD00003454, license state is located at Washington. Michael Edward Derzay OD physically located at 235 E Rowan, Spokane WA, 99207-1240. NPI Number Michael Edward Derzay OD has the Individual type.

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1477621191 NPI number is provided on an as is basis without warranty of any kind. 1477621191 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Edward Derzay OD are for informational purposes only.