William Dale Whitted Od

NPI 1538352943 - Optometrist - 152W00000X

NPI Details
NPI 1538352943
Enumeration Date 08/20/2007
Last Updated 08/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BILL BILL
Position OPTOMETRIST
Phone (209) 951-3693
Fax (209) 951-4711
Practice Location
1036 W ROBINHOOD DR STE 105
STOCKTON CA, 95207-5622, US
Phone (209) 951-3693
Fax (209) 951-4711
Business Location
1036 W ROBINHOOD DR STE 105
STOCKTON CA, 95207-5622, US
Phone (209) 951-3693
Fax (209) 951-4711
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 5969T
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According to our database, William Dale Whitted Od NPI is 1538352943, taxonomy code is 152W00000X and license number is 5969T, license state is located at California. William Dale Whitted Od physically located at 1036 W Robinhood Dr Ste 105, Stockton CA, 95207-5622. NPI Number 1033115704 has the healthcare provider type.

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1538352943 NPI number is provided on an as is basis without warranty of any kind. 1538352943 is maintained by the National Plan & Provider Enumeration System. The contents of William Dale Whitted Od are for informational purposes only.