NATHAN CODY MORTENSEN

REXBURG, ID
NPI1194253682
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  100403)
Enumeration Date2017-05-26
Last Update Date2017-05-26
Business Address
DR. NATHAN CODY MORTENSEN OD
49 E 1ST S
REXBURG, ID 83440-1966
Phone number: 208-356-4444
Mailing Address
DR. NATHAN CODY MORTENSEN OD
1340 FAIRVIEW AVE
REXBURG, ID 83440-5078
Phone number: 208-351-4170
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