NPI | 1124125596 |
---|---|
Former Legal Business Name | DARRELL E GENSTLER MD PC |
Entity Type | Organization |
Authorized Contact | DARRELL GENSTLER Owner 541-928-1667 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-01-09 |