Frederick G. Downard, O.d., P.a.

NPI 1710088331 - Optometrist - 152W00000X

NPI Details
NPI 1710088331
Enumeration Date 09/26/2006
Last Updated 08/19/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK GEORGE FREDERICK
Position OWNER / PRESIDENT
Phone (208) 522-6933
Fax
Practice Location
1990 SABIN DR
AMMON ID, 83406, US
Phone (208) 522-6933
Fax
Business Location
1990 SABIN DR
AMMON ID, 83406, US
Phone (208) 522-6933
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number 000354660
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According to our database, Frederick G. Downard, O.d., P.a. NPI is 1710088331, taxonomy code is 152W00000X and license number is 000354660, license state is located at Idaho. Frederick G. Downard, O.d., P.a. physically located at 1990 Sabin Dr, Ammon ID, 83406. NPI Number 1033115704 has the healthcare provider type.

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1710088331 NPI number is provided on an as is basis without warranty of any kind. 1710088331 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick G. Downard, O.d., P.a. are for informational purposes only.