KEVIN COTTER ODPA

CALDWELL, ID
NPI1245420926
Entity TypeOrganization
Authorized ContactKEVIN COTTER
Owner
208-455-2197
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-935)
Enumeration Date2007-07-27
Last Update Date2007-07-27
Business Address
KEVIN COTTER ODPA
5108 CLEVELAND BLVD
CALDWELL, ID 83607-8002
Phone number: 208-455-2197
Mailing Address
KEVIN COTTER ODPA
618 WINTHER BLVD
NAMPA, ID 83651-6542
Phone number: 208-466-1395