TETON RETINAL INSTITUTE PA

AMMON, ID
NPI1437274057
Entity TypeOrganization
Authorized ContactDARRYL G MOFFETT
President
208-535-4900
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: ID  M6263)
Enumeration Date2007-03-20
Last Update Date2015-11-18
Business Address
TETON RETINAL INSTITUTE PA
3544 E 17TH ST STE 105
AMMON, ID 83406-6911
Phone number: 208-535-4900
Mailing Address
TETON RETINAL INSTITUTE PA
3544 E 17TH ST STE 105
AMMON, ID 83406-6911
Phone number: 208-535-4900
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