Roger L. Wu O.D.

NPI 1063400604 - Optometrist - 152W00000X

NPI Details
NPI 1063400604
Gender Male
Enumeration Date 10/07/2005
Last Updated 10/28/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
2707 E VALLEY BLVD
SUITE 216
WEST COVINA CA, 91792-3195, US
Phone (626) 810-3398
Fax (626) 810-3342
Business Location
2707 E VALLEY BLVD
SUITE 216
WEST COVINA CA, 91792-3195, US
Phone (626) 810-3398
Fax (626) 810-3342
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10971T
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According to our database, Dr. Roger L. Wu O.D. NPI is 1063400604, taxonomy code is 152W00000X and license number is 10971T, license state is located at California. Roger L. Wu O.D. physically located at 2707 E Valley Blvd, West Covina CA, 91792-3195. NPI Number Roger L. Wu O.D. has the Individual type.

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1063400604 NPI number is provided on an as is basis without warranty of any kind. 1063400604 is maintained by the National Plan & Provider Enumeration System. The contents of Roger L. Wu O.D. are for informational purposes only.