| NPI | 1548786098 |
|---|---|
| Doing Business As | PAUL BIGELOW OD |
| Entity Type | Organization |
| Authorized Contact | TODD ANTHONY NOBLE Member 208-318-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |