TIMOTHY J. ELLIS

BOISE, ID
NPI1285644856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  0882)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
Dr. TIMOTHY J. ELLIS O.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
Dr. TIMOTHY J. ELLIS O.D.
2827 HEATHER PL
BOISE, ID 83702-1428
Phone number:
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