CHAD WILLIAM CLEVERLY

BOISE, ID
NPI1386660959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-1015)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
Dr. CHAD WILLIAM CLEVERLY O.D.
3293 N MILWAUKEE ST
BOISE, ID 83704-4446
Phone number: 208-322-2020
Mailing Address
Dr. CHAD WILLIAM CLEVERLY O.D.
3293 N MILWAUKEE ST
BOISE, ID 83704-4446
Phone number: 208-322-2020
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