OWEN M SHIRTS

IDAHO FALLS, ID
NPI1477612273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP716)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: ID  ODP716)
Enumeration Date2006-12-07
Last Update Date2023-03-07
Business Address
Dr. OWEN M SHIRTS O.D.
838 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5296
Phone number: 208-523-3937
Mailing Address
Dr. OWEN M SHIRTS O.D.
838 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5296
Phone number: 208-523-3937