Steven Lee Goedert O.D.

NPI 1780771584 - Optometrist - 152W00000X

NPI Details
NPI 1780771584
Gender Male
Enumeration Date 10/05/2006
Last Updated 04/23/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1465 VICTOR AVE
STE. D
REDDING CA, 96003, US
Phone (530) 722-0200
Fax
Business Location
1465 VICTOR AVE
STE. D
REDDING CA, 96003, US
Phone (530) 722-0200
Fax (530) 722-0210
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 5674T
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According to our database, Steven Lee Goedert O.D. NPI is 1780771584, taxonomy code is 152W00000X and license number is 5674T, license state is located at California. Steven Lee Goedert O.D. physically located at 1465 Victor Ave, Redding CA, 96003. NPI Number Steven Lee Goedert O.D. has the Individual type.

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1780771584 NPI number is provided on an as is basis without warranty of any kind. 1780771584 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Lee Goedert O.D. are for informational purposes only.