Benjamin Threlkeld Od

NPI 1073754974 - Optometrist - 152W00000X

NPI Details
NPI 1073754974
Enumeration Date 03/23/2009
Last Updated 03/23/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CINDY H CINDY
Position OPTOMETRIST, OWNER
Phone (650) 323-6772
Fax (650) 323-6775
Practice Location
250 CAMBRIDGE AVE
SUITE 102
PALO ALTO CA, 94306-1549, US
Phone (650) 323-6772
Fax (650) 323-6775
Business Location
250 CAMBRIDGE AVE
SUITE 102
PALO ALTO CA, 94306-1549, US
Phone (650) 323-6772
Fax (650) 323-6775
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11147T
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According to our database, Benjamin Threlkeld Od NPI is 1073754974, taxonomy code is 152W00000X and license number is 11147T, license state is located at California. Benjamin Threlkeld Od physically located at 250 Cambridge Ave, Palo Alto CA, 94306-1549. NPI Number 1033115704 has the healthcare provider type.

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1073754974 NPI number is provided on an as is basis without warranty of any kind. 1073754974 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Threlkeld Od are for informational purposes only.