William A Pellow X OD

NPI 1508964180 - Optometrist - 152W00000X

NPI Details
NPI 1508964180
Gender Male
Enumeration Date 09/20/2006
Last Updated 10/02/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
90 N CLARK AVE
UNIT 3
REPUBLIC WA, 99166-5024, US
Phone (509) 775-3800
Fax (509) 775-3994
Business Location
PO BOX 409
REPUBLIC WA, 99166-0409, US
Phone (509) 775-3800
Fax (509) 775-3994
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number 1669TX
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According to our database, Dr. William A Pellow X OD NPI is 1508964180, taxonomy code is 152W00000X and license number is 1669TX, license state is located at Washington. William A Pellow X OD physically located at 90 N Clark Ave, Republic WA, 99166-5024. NPI Number William A Pellow X OD has the Individual type.

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1508964180 NPI number is provided on an as is basis without warranty of any kind. 1508964180 is maintained by the National Plan & Provider Enumeration System. The contents of William A Pellow X OD are for informational purposes only.