| NPI | 1548786098 |
|---|---|
| Doing Business As | PAUL BIGELOW OD |
| Entity Type | Organization |
| Authorized Contact | RYAN DOUGLAS HUBER Manager 208-514-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2024-08-01 |