Bradley G Gruver & Kenneth L Koch Ptrs

NPI 1356412605 - Optometrist - 152W00000X

NPI Details
NPI 1356412605
Enumeration Date 11/10/2006
Last Updated 12/03/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH LYLE KENNETH
Position PARTNER
Phone (509) 487-5456
Fax (509) 484-0082
Practice Location
124 E ROWAN AVE
SUITE 101
SPOKANE WA, 99207-1214, US
Phone (509) 487-5456
Fax (509) 484-0082
Business Location
124 E ROWAN AVE
SUITE 101
SPOKANE WA, 99207-1214, US
Phone (509) 487-5456
Fax (509) 484-0082
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Bradley G Gruver & Kenneth L Koch Ptrs NPI is 1356412605, taxonomy code is 152W00000X Bradley G Gruver & Kenneth L Koch Ptrs physically located at 124 E Rowan Ave, Spokane WA, 99207-1214. NPI Number 1033115704 has the healthcare provider type.

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1356412605 NPI number is provided on an as is basis without warranty of any kind. 1356412605 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley G Gruver & Kenneth L Koch Ptrs are for informational purposes only.