WILLIAM THOMAS BLACK

CALDWELL, ID
NPI1063591162
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ID0857)
Enumeration Date2006-11-02
Last Update Date2012-08-30
Business Address
Mr. WILLIAM THOMAS BLACK OD
420 E ELM ST
CALDWELL, ID 83605-4846
Phone number: 208-459-2020
Mailing Address
Mr. WILLIAM THOMAS BLACK OD
420 E ELM ST
CALDWELL, ID 83605-4846
Phone number: 208-459-2020
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