NPI | 1417992843 |
---|---|
Doing Business As | STEPHEN J INGMAN OD |
Entity Type | Organization |
Authorized Contact | STEPHEN JOHN INGMAN President Optometrist 530-823-5411 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 6466T) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2011-04-27 |